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HomeMy WebLinkAboutFire Inspection Certificate 2024-2027 Glow M a � A UONUin w a z � w cn O F" H , E w zA � �� z z O ~ U) ra as w W W ,._� �' HHA � o o z o W A W `n U Ucn H W W z � cf) cUn x W a U 'C/) C w CA a w x > a ►-`� �' HzA � zw H A w z � BR 19£32 BUILDING DEPARTMENT ❑BUILDING INSPECTOR QASSISTANT 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 : R 1)l -u�. DATE: I PERMIT# i "' ^J 5 i�P C ISSUED: SECT: 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 C ❑ L.P. GAS 1� M ❑ FUEL TANK ❑ FIRE SPRINKLER ^^ ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL .0 OTHER BUILDING DEPARTMENT VILLAGE OF RYE BROOK Initial Inspection Date: ❑ Pass STEVEN E.FEWS 938 KING STREET,RYE BROOK,NEW YORK 10573 8- 20 - ?-02y,/Fai1 BUILDING&FIRE INSPECTOR (914)939-0668 • FAX(914)939-5801 Re-Inspection Date: ❑ Pass stevefews&rvebrook.ors www.ryebrook.orQ 1w "5 i�f+ Fail FIRE INSPECTION REPORT, NOTICE OF VIOLATION & ORDER TO REMEDY SAME Site Address: 12 , �?UaC,, Zone: 0, SBL: /y/, Z 7 - / - '7 Occupancy: L p(,] l ,,5� bvh At P 4 el l E State Use Classification: Business Owner: JQ IJ M X tom. MA t 0., Phone: 203 - 2 23- 49$?IrD Building Owner: W I 2 t aA_p, %.oa,. m Phone: 9/el- 70 /' y©©s,, Emergency Contact: z(2 1(�t.� t pC Phone: L Vt." 387 " S-3 Q3 Building Representative in Attendance: �.�1 � Sp DA•J ------------------------------------------------------------------------------------------------------------------------------------------------------------------ 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 ere found to exist at, W_ f ca in the Village of Rye Brook, NY on, q.. . Cam—20_p7 You are hereby directed to obtain the necessary permits and to correct all violations immUliately.You are further directed to contact the Building Department during normal business hours to schedule a re- inspection of the premises to confirm that all violations have been corrected,and that the premises is in full compliance with all applicable codes,laws,rules&regulations.Be advised that your failure to comply with the directives contained herein and 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 installed so that the top is not higher than 5 feet above the 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._X _ b.907.4.1 Are manual pull stations located within 5 feet of exits&within 200 feet of each other. b. ✓ _ c.907.4.2 Is the height of the pull station handle located between 42&48 inches above the floor. c. ✓' _ d.907.3 Is a fire alarm system provided in existing buildings as per section 907.3.1 &907.3.2. d. 3.FIRE 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. _ d.901.6.1 Is a supply of six spare heads&a wrench maintained on the premises. d. e.901.6.1 Are sprinkler heads&cover plates unfmished or of factory applied finish only. e. f.901.6.2 Are records of all system inspections,tests&maintenance reports maintained on the premises. f. g. 913.5 Is the fire pump inspected,tested&maintained in accordance with this section&NFPA 25. g._ — h. 508.5.2 Is the fire hydrant system properly maintained,operational,compatible w/NST&tested annually. h. i. 508.5.4 Are fire hydrants&fire protection equipment unobstructed. i._ — j. 508.5.5 Is a clear space of not less that 3 feet maintained around all hydrants. j. INSPECTOR: L DATE: g 20 ^ 2- O Z� 1. Revised 2/10/1 1 No YES N/A 4.STANDPIPE,CABINETS&FIRE DEPARTMENT CONNECTIONS a.901.6.1.Is the standpipe system inspected,tested&maintained in accordance with NFPA 25-14. a. b.901.6.1.Has the required flow test been performed within the past 5 years as per NFPA 25-14. b. c.905.1.Are FDC threads in the standpipe system compatible with National Standard specifications. 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.912.3 Are FDC's unobstructed and available for immediate access by the fire department. g. 5.EXITS,MEANS OF EGRESS&OCCUPANCY a. 1028.2.Are exits&exit enclosures continuously maintained free from obstructions or impediments. a. b. 1028.3.Is the means of egress free from obstructions including accumulated ice&snow. b. _ c. 1028.5.Are exits maintained unobstructed by furnishings,decorations,draperies,mirrors,etc... C. d. 1028.6.Are existing emergency escape&rescue openings maintained as per this section. d. e. 1029.2.Are egress doors readily operable from the egress side as per this section&Section 1008.1.8.3. e. f. 1029.4.Are all spaces having an assembly occupancy posted with an approved occupant load sign. f. g. 1029.7.1.Are exits marked by a properly located,approved&readily visible exit sign. 9- h. 1029.7.1.Is the maximum travel distance to any exit sign in an exit access corridor 100 feet or less. h. i. 1029.7.3.Are all stairway exits provided with tactile exit signs in compliance with ICC/ANSI 117.1. i. _ j. 1029.7.4.Are all exit signs illuminated at all times. j. k.1029.8.Are the means of egress&exit discharge illuminated at all times the building is occupied. k. 1. 1029.11.1.Are public aisles in group B&M occupancies maintained at least 36"wide where fixtures 1. are placed on one side of the aisle&at 44"wide where fixtures are placed on both sides. m. 1029.11.2.Are non-public/non-accessible aisles serving less than 50 people maintained at least in. _ 28"wide,or at least 36"wide where serving 50 or more people. 6.COMBUSTIBLE STORAGE&WASTE MATERIALS a.304.1.Is premises&building maintained free from accumulated combustible waste material. a. b.304.1.2.Is property free from weeds,grass,vines or other growth capable of being ignited. b. c.304.2.Is combustible rubbish stored so as not to create a nuisance or hazard to the public. C. d.315.2.Are combustible materials properly stored&separated from ignition sources. d. e.315.2.1.Is storage maintained 24"or more below the ceiling in nonsprinklered buildings, e. _ and 18"or more below sprinkler head deflectors in sprinklered buildings. f.315.2.2.Are exits&exit enclosures maintained free from stored combustible materials. f. _ g.315.2.3.Are boiler,mechanical&electrical rooms maintained free from stored combustible material. g. h.313.1.Is building maintained free from stored fueled equipment.(motorcycles,mopeds,mowers,etc...) h. 7.ELECTRICAL a.604.1.Are emergency&standby power systems properly maintained. a. b.605.1.Is the building free from modified/damaged wiring,devices,appliances,equipment and b. maintained free from electrical hazards. c.605.2.Are electrical service equipment areas properly illuminated. C. d.605.3.Are proper working space clearances provided&maintained for electrical service equipment. d. e.605.3.Are electrical service equipment working spaces free from any stored materials. e. f.605.3.1.Are all electrical control panel room doors,panel boards&disconnects properly labeled. f. 1 g.605.4.Is the building free from unfused multi-plug electrical adapters. g. 'X_ h.605.5.Are electrical extension cords being used in a safe manner as per code. h. i.605.6.Are all junction,switch&outlet boxes fitted with approved covers or plates. i. j.605.6.Is the building free from open-wiring spliced electrical connections. j. k.605.8.Are electrical motors maintained free from accumulated oil,dirt&debris. k. 1.610.Are Carbon Monoxide Detectors installed&maintained as required by code. 1. A aINSPECTOR: l�� ( "' —� DATE: 9 - 2 O � ?o L,) 10 2. Revised 2/10/11 No YES N/A H.ELEVATORS,DUMBWAITERS&ESCALATORS a. [PM]606.1.Are elevators properly maintained,and is the current certificate of inspection on the premises. a. _ �G b.607.2.Are approved standardized,pictorial signs posted adjacent to each elevator call station on all b. _ floors reading; IN FIRE EMERGENCY,DO NOT USE ELEVATOR,USE EXIT STAIRS c.607.3.Are keys for elevator car doors&fire department service kept in an approved location. C. d.315.2.3.Are elevator machine rooms maintained free from stored combustible material. d. �G e. [B]3006.1.Are elevator machine room doors maintained unobstructed at all times. e. _ _ 4- 9.COMMERCIAL KITCHENS a.904.11.5.Are portable Class K fire extinguishers within 30 feet of cooking equipment. a. b.904.11.6.1.Is the fire protection equipment inspected,tested&maintained as per Section 901.6. b. c.904.11.6.4.Are automatic fire extinguishing systems serviced at least every 6 months&after system C. activation,and is the certificate of inspection forwarded to the code enforcement official. d.904.11.6.5.Are fusible links&automatic sprinkler heads replaced annually. d. 10.HEATING SYSTEMS a.[PM]603.1.Are all heating appliances properly installed&maintained in a safe working condition. a. b.[Pm]603.2.Are all fuel-burning appliances&equipment connected to an approved chimney or vent. b. _ _✓ c.[PM]603.3.Are heating appliances maintained with proper clearances from combustible material. C. _ ✓ d.[PM]603.4.Are safety controls for fuel-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.2203.2.Is an approved,readily identified&readily accessible emergency disconnect switch provided a. in an approved location within 100'of,but not less than 20' from fuel dispensers. b.2204.3.4.Are dispenser operating instructions conspicuously posted on every fuel dispenser. b. _ ZC c.2204.2.4.Are fuel-dispensers unobstructed&in clear view of the attendant at all times. C. d.2205.5.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.2205.5.Are warning signs provided&posted within sight of each dispenser as per this section. e. f.2205.7.Are combustible materials kept at least 10'from fuel-handling equipment. f. g.2206.4.Are above-ground tanks provided with vehicle impact protection. g. �C h.2206.5.Are above-ground tanks provided with secondary spill containment. h. 12.HAZARDOUS MATERIALS c. 407.2.Are M.S.D.S.for all hazardous materials readily available on the premises. a. 'X d.407.3.Are spaces and individual containers containing haz-mats properly labeled&identified. b. �/ e. 2701.4.Are haz-mats reported annually as required by General Municipal Law Section 209u. C. ✓ d.2703.7.1.Are proper No SMOKING signs provided as per this section. d. 13.MISCELLANEOUS a.404.2.Is an approved fire safety&evacuation plan prepared&maintained for the building/occupancy. a. b.405.2.Are emergency evacuation drills conducted at the intervals as specified in Table 405.2. b. ✓ c.405.5.Are records kept&maintained on the premises for emergency evacuation drills. 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.3003.5.Are compressed gas cylinders&systems secured&safeguarded against damage&access. h. i.3003.6.1.Are compressed gas cylinder caps or collars in place at all times except when tanks are in use. i. �C 14.GENERAL HOUSEKEEPING a.Good b.Fair c.Inadequate d.Poor INSPECTOR: DATE: — L C) — 3. Revised 2/10/11 ITEM NUMBER REMARKS 2. A 8,IJ SP N 6 N 3 f- P a r jY. P- "ea-A j j C-L qX bs 'E�k 3 E� PeiN NC Lc o✓ -x' A 1 , 16W c)ItA A14 A n4A N c s c�-Dali Q Cam- /- E C c�j tjO A 1 4 2 De c Joe-e4dS Lie, �t-Q LC-CAn yo? . , S, D, S , /► i C v F-rA c2J Lc-co INSPECTOR: DATE: 8 o 4. Revised 2/10/11 . 16;. Fire Alarm p lnspge Aion and Testing Re rt IIIII IIIII III. II III I NIII[III II II 2 � II II I l/ 3� ��� �� �.�.t 5519UE01 ' Date: 01 i-l Time: wt SERVICE ORGANIZATIONlnspectienlob N: PROPERTY NAME(USER) Name: ADT LLC dba ADT Security Services gee' � i Lt� n �1 Name: Win A I� q e Address: •5 fC y i I1� I i ✓e �( h (� Address: '171 (� _-- I rl l(l z q Representative: P�� �� Owner Contact• L License No: v _ Telephone: G1��' �'7�— Li(7�5 Telephone: — .t hG. —G1.Yt�t.h 1�:Vti7 tG+lc�a •�G'r1 MONITORING,ENTITY APPROVING AGENCY J Contact S�ti+�1N 1 p 1 Contact Telephone: 14�� — `� 6 3 Telephone: Monitoring Account Ref No(CSN): TYPE TRANSMISSION SERVICE [] McCulloh AlarmNet •Weekly Multiplex ❑ d Telular ❑ Monthly C] Digital Cellular Radio Bimonthly Reserve Priority ❑ Quarterly ❑ RF Semiannually �] Other (speclry): B21Annualty _ ElOther (Specify): Control Unit Manufacturer. E<,,j Circuit S(yles A D r2 S j q }, Model No: Number of Circults: �{ Software Rev.: �, 3 Lest Date System,Had AnySenice Performed: r , Last Date thatAnySoftware or Configuration Was Revised: ALARM-INITIATING DEVICES AND CIRCUIT INFORMATION Quantity of Devices Clrcult Style Quantity of Devices Installed ry ,►Tested r a Manual Fire Alarm Boxes ? Ion Detectors —3 9 7 Photo Detectors i Duct Detectors Heat Detectors � r Waterflow Switches i O _ Supervisory Switches t' Other (Specify): j Alarm vdllficsUon feature fs Disabled E] Enabled i Reprinted with permission from NFPA 72®2007,National Fire Alarm Code®,Co I 02169. This leprinted material is not the complete and officfaf position of the NFPA on there erenced su subject which is represon ented o�nlly by the A �+lay standard In Its entirety. t i i . � 9. Fire Alarm Inspection and Testing Report IIIIIIIII�IIIIII I N I�I III IIIIIII IIII I IIIIIIIIIIII 5519UE01 ALARM NOTIFICATION APPLIANCES and CIRCUIT INFORMATION Quantity of Appliances Circuit Style Quantity of Appliances Installed Tested Bells Horns Chimes Strobes Speakers Other (Speciry): No.of alarm notification appliance circuits: Are circuits monitored for integrity? ❑ Yes ❑ No SUPERVISORY SIGNAL-INITIATING DEVICES and CIRCUIT INFORMATION Qty of Devices Circuit Style Qty of Devices Qty of Devices Circuit Style Qty of Devices Installed Tested Installed Tested Building Temp. Fire Pump/Pump Controller Trbl Site Water Temp. Fire Pump Low Fuel Site Water Level Generator In Auto Position Fire Pump Power Generator or Controller Trouble Fire Pump Running Switch Transfer Fire Pump Auto Position Generator Engine Running Other (Specify): See NFPA 72 section for Protected Premises Fire Alarm Systems,Performance of SIGNALING LINE CIRCUITS Signaling Line Circuits(SLC),table for Performance of Signaling Line Circuits for Quantity and style of signaling line circuits connected to system: Class and Style Quantity: Style(s): SYSTEM POWER SUPPLIES (a)Primary(Main): Nominal Voltage: ` 2 0 Amps: Overcurrent Protection: Type: Amps: Location(of Primary Supply Panelboard): Disconnecting Means Locations: 4 I q F C i 1l M (b)Secondary(Standby): Storage Battery:Amp-Hr.Rating: Calculated capacity in Amp•Hrs to operate system for hours Engine-driven generator dedicated to fire alarm system: Location of fuel storage: BATTERY TYPE ❑ Dry Cell ❑ Nickel-Cadmium x Sealed Lead-Acid ❑ Lead-Acid ❑ Other(Specify): (c)Emergency or standby system used as a backup to primary power supply,instead of using a secondary power supply: ❑ Emergency system described in NFPA 70,Article 700: ❑ Legally required standby described in NFPA 70,Article 701: ❑ Optional standby system described in NFPA 70,Article 702,which also meets the performance requirements of Article 700 or 701: Reprinted with permission from NFPA 72®2007,National Fire Alarm Code®,Copyright C 2007,National Fire Protection Association,Quincy,MA 02169, This reprinted material is not the complete and official position of the NFPA on the referenced subject,which is represented only by the (P.2 aa) standard in its entirety. AIM e } Fire Alarm Inspection and Testing Report III`IIIIIIIIIIIIIIIIIIIIIIIIIIIIIBIIIIIIIIIIIIIII 5519UEOI e PRIOR TO ANY TESTING NOTIFICATIONS ARE MADE ,,,Ye���s No Who Tme Monitoring Entity Lam' a e Building Occupants ❑Building Management Other(Specify) ❑ ❑ ' — AHJ Notified of Any Impairments ❑ ❑ SYSTEM TESTS and INSPECTIONS Type `)Isuai Functic�ai Comments Control Unit ❑ iY Interface Equipment ❑ Lamps/LEDs ❑ Fuses ❑ Primary Power Supply ❑ Trouble Signals ❑/ Disconnect Switches RLJ/ ❑ Ground-Fault Monitoring ❑ ❑ SECONDARY POWER Type Visual Functigna[ Comments Battery Condition ElW, Lead Voltage Discharge Test Charger Test ` Specific Gravity ❑ TRANSIENT SUPPRESSORS ❑ REMOTE ANNUNCIATORS ❑ ❑ NOTIFICATION APPLIANCES Type Visual Fun cUopal Comments Audible Visible Speakers ❑ Voice Clarity ❑ INITIATING and SUPERVISORY DEVICE TESTS and INSPECTIONS Loc.&S/N Device Type Visual Functional Factory Setting Measured Setting Pass Fail ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Comments: Reprinted with permission from NFPA 72®2007,National Fire Alarm Code®,Copyright C 2007,National Fire Protection Association,Quincy,MA 02169. This reprinted material Is not the complete and official posttlon of the NFPA on the referenced subject,which Is represented only by the tp.a or ni standard In Its entirety. lei Fire Alarm Inspection and Testing Report III IfI III II II iI IIIIII f IIIIIII II IIIIII . 5519UEOI EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional Comments Phone Set ❑ ❑ Phone Jacks ❑ ❑ a Off-Hook ind!cator ❑ ❑ Ampllfler(s) ❑ ❑ Tone Generator(s) ❑ ❑ Call-In Signal ❑ ❑ System Performance ❑ D COMBINATION SYSTEMS Device Simulated Visual Operation Operation Fire Extinguisher Monitoring Device/System ❑ ❑ ❑ Carbon Monoxide Detector/System ❑ ❑ ❑ VIA (Specify) ❑ ❑ ❑ INTERFACE EQUIPMENT Device Simulated SPECIAL HAZARD SYSTEMS Device Simulated Visual Operation Operation Visual Operation Operation (Sp-ih') — ❑ ❑ ❑ (Specify) ❑ ❑ ❑ (Specify) ❑ ❑ ❑ (Specify) El El El(Specify) ❑ ❑ ❑ (Specify) El El Special Procedure: Comments: SUPERVISING STATION MONITORING Ye 9 No Time Comments Alarm signal ❑ ,�C Alarm Restoration Trouble Signal LJ ❑ Supervisory Signal ❑ Supervisory restoration E — NOTIFICATIONS THAT TESTING IS COMPLETE Y No Time Who Building Management l °� 3 O An Monitoring Agency Building Occupants ❑ Other(Specify) ❑ ❑ The following did not operate correctly(See Service Job): Service Job#: System restored to normal operation: Date: Time: On monitored alarm systems,I tested,and If necessary,connected the telephone line seizure feature to ensure It is working correctly. ❑Yes ❑No THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS. Name of Inspector: .jnnt; th't '4 1,nct �Vll l' Date: I2. Time: I'D /I l^1 Signature: � _- Name of Owner or Representative: Date: Time: Signature: Reprinted with permission from NFPA 72®2007,Natlbnal Fire Alarm Code®,Copyright C 2007,National Fire Protection Association,Quincy,MA 0216g. This reprinted material Is not the complete and official position of the NFPA on the referenced subject,which is represented only by the (p.4 of 4) standard In its entirety. Inspection, Testing and Maintenance Form Wet Pipe Fire Sprinkler ALL SAFE Systems FIRE SPRINKLER SYSTEMS INC. This form covers them inimurn requirements of NFPA25 2017 for wet pipe fire sprinkler systems connected to water supplies without tanks or fire pumps.Seperate forms are available for fire pumps,tanks,hose connections,and other fire protection systems.More frequent inspection,testing and maintenance may be necessary depending on the condmons of the occupancy and the water supply. Property Name Date of Work Gaza building(4.34 Rye Ridge Plaza) 09/14/2023 Address Phone l24 Rye Ridge Plaza 9147014005 city State Zip Code Property Contact Rye Brook NY 10573 Alena Hakanjin 0wnw Name Win Ridge Realty UC All responses refer to the current work performed on this date. Inspection Type weekly Monthly Quarterly Semiannual Annual S Year Notes 1)All questions are to be anwered Yes,No,or Not Applicable.AII'Nd answers are to be explained in Part III of this form. 2)Inspection,Testing,and Maintenance tasks are to be performed with water supplies(including fire pumps)in service,unless the impairment procedures of Chanter 15 of NFPA 25 are followed. PART 1-Owner's Section A.Is the building occupied? B.Has theoccupancy and hazard of contents remained the same since the last inspection? -select an option- -selecl an option- C.Are all fire protection systems in service? 0.Has the system remained in service without modificaWn since the last Inspection? -select an option- - _--� -select an option- E.Was the system free of actuation of devices and alarms since the last Inspection? -select an option- 0wnees Representative Date —-_- _ 09/14/2023 Signature r- ------ h h h h L-------------------------------J PART 2-Inspector's Section A.Inspections-Report any failures in Section III 1,Weekly Inspection Items a.Control Valves(including backflow preventer Isolation valves)supervised with seals passed b.Relief port on RPZ not discharging inspection as described in IIA.2.a)----.- -_- - N/A Yes 2.Monthly Inspection Items(in addition above items) a.Control Valves and Valves on backflow preventers 1.In correct(open or dosed)position? 2.H not dectrically supervised,locked in correct position? N/A 3.Accessible and free from visible leaks? 4.Provided with appropriate wrenches? Yes _ - Yes 5.Provided with appropriate identification? 1 Yes _. ---- b.Alarm valve free from physical darnags,trim In correct(open or dosed)position,and no leakage from rararding chamber or drains? Yes 3.Quarterly Inspection items(in addition to above Items) 1 of d a.Gauges monitoring wafer pressure in good condition and showing normal water supply b.Fire department connections visible,accessible,couplings and swivels not damaged, pressure gaskets in place and in good condition,check valve not leaking,clapper in place and Yes operating property,and operating drain valve in place and operating properly.(1t plugs or caps - are not In place,Inspect for Interior obstructions) res c.Control valves electrically supervised d.Alarm and supervisory devices not damaged? Yes Yes e.Pressure reducing valve in open position,not leaking,with downstream pressure per design criteria and in good condition with hand wheels not broken? N/A 4.Annual inspection(in addition to above items) � a.Proper number and type of spare sprinklers? 1.List of spare sprinklers attached and legible VI es Yes b.Visible Sprinklers 1.Proper position:Upright,pendent,sidewall? 2.Free of leaks,corrosion,damage? [Yes -- 3.Proper clearance below sprinklers? 4.Free of foreign material including paint? [Yes `—" Yes 5.Liquid in all gas bulbsprinklers? YI es - c.Visible Pipe 1.In good condition/no external corrosion? 2.No mechanical damage or leaks? it Ves — - l - ---- - 3.No external loads? d.Visible pipe hangers/seismic bracing not loose or damaged? Yes Yes e.Sprinkler wrench(es)with spare sprinklers f.Genreal information sign attached and legible Yes ---- - res -- -- g.Has the internal inspection of pipe removing a flushing connection and one sprinkler head h.Hydraulk information sign securely attached to riser and legible? 111 near the end of a.branch line)performed in the last 5 years?If no,conduct internal inspection LN/A N/A 5.5-Year Inspection Items(in addition to above items) a.Alarm valves and associated strainers,filters,and restricted orifices passed internal b.Check valves Intenally inspected,all parts operate and are in good condition inspection? -.- - N/A c.Internal pipe inspection performed per II.A.4.g N/A B.Testing-Report any failures in Section III 1.Quarterly Testing Items a.Mechanical water flow alarm devices actuated and flow observed? b.Main drain test for system downstream of backflow device or pressuring reducing valve? N/A Yes - ------- --- 1.System static pressure(ps) 2,System residual pressure(ps) 95 I 75 3.Was flow observed? 4.Are results comparable to previous tests? Yes -- -- - -- � Yes 2.Semiannual Testing Items(in addition to above Items) a.Valve supervisory switches indicate movement? b.Electrical water flow alarm devices actuated and alarmed? Yes res - - - --- 3.Annual Inspection Items(in addition to above items) a.Main drain test(for system not tested quarterly) 1.System static pressure(psi) 2.System residual pressure(psi) 195 75 3.Was flow observed? A.Are results comparable to previous tests? lYes Yes --. b.Post indicating valves opened until spring or torsion felt In the rod then closed back 114 c.All Sprinklers manufactured after 19207 turn? yes KA 2nf4 d.Quick response sprinklers 20 years old or more replaced or successfully sample tested in the e.Standard response sprinklers 50 years old or more replaced or successfully sample tested in last 10 years? �the last 10 years? N/A N -- -�l N/A f.Standard response sprinklers 75 years or more replaced or successfully sample tested in the g.Dry-type sprinklers replaced or successfully sample tested in the last 5 years? last 5 years? N/A N/A h.Sprinkles sub)ect to harsh environment replaced or successfully sample tested in the last 5 years? N/A 1.Antifreeze solution specific gravity 1.Correct at most remote point? 2.Correct at interface with wet system? N/A ---3.Correct at other test points(over 150 gal) 4.Correct type of antxreeze? N/A N/A All control valves operated through full range and returned to normal position? It.9aclitow devices passed forward flow test? Ves N/A L Pressure reducing valves passed partial flow test? N/A 4.5-Year Inspection Items(in addition to above items) a.Sprinklers above high temperature tested? b.Gauges checked by calibrated gauge or replaced? N/A _ _ ----- e Pressure reducing valves passed full flow test? N/A C.Maintenance 1.Regular maintenance items a.If any sprinkler failed lhesample testing of Part 11,81 were all sprinklers represented by that b.If sprinkler has been replaced,were they proper replacements? sample replaced? C -- - —.. N/A ------ - _ — c.Marine systems norms lly,having fresh water were drained and refilled twice if raw water got d.Heat tape inspected per manufacturers instructions, into the system? N/A J e.If any of the following were discovered,was an obstruction investigation conducted?Explain reason(s)and findings in Part III 1.Defective Intake screen on pump supplied from sources 2,Obstructive material discharged during flow test N/A —J N/A 3.Foreign material in dry pipe valves,check valves or pumps 4.Foreign material in water during drain test or plugging of inspectors test connection N/A N/A 5.Plugging of pipe or sprinklers found during activation or work 6.Record of broken mains in vicinity N/A N/A 7.Abnormally frequent false-tripping of dry-pipe valves S.Failure to flush yard piping or surrounding mains following new Installation or repairs N/A --- ------ l N/A -- - 9.System to returned to service after an extended period of time out of service(more then one so.There is reason to believe the system contains sodium silicate or its derivations or highly year)? corrosive fluxes in copper pipe r— [—N/A N/A 11.Raw water was pumped into the fire department connections 12.Pinhole leaks N/A N/A I.N conditions were found that required flushing,was flushing of system conducted? g.Was a valve status test connected after opening any closed valves? N/A N/A h.Adjusted,repaired,reconditioned or replaced components had the associated tests and/or inspections Performed N/A 2.Annual Maintenance kerns(in addition to above Items) a.Operating stem of NI OS&Y valves lubricated,completely closed,and reopened? b.Sprinkles and spray nozzles protecting commercial cooking equipment and ventilating yes system replaced except for bulb-type which shows no signs of grease build-up? N/A --- PART 3-Comments 3of4 Any'Nd answers,test failures or other problems found with the sprinkler system must be explained here.(Asa courtesy,note on a seperate form any concerns about anything that you saw while performing your work that Is not a pan of the NFPA 25 requirements including any recalled products that you nappened to notice.) Comments PART 4-Inspector's Information — - - ----— I state that the information on this is form correct at the time and place of my inspection,and that all equipment tested at this time was Jett in operating condition upon complelion of this inspection except as noted in Pan III above. Company Company Address Fall safe fire — 375 Executive Bivd,Elmsford,NV Inspector Date Certification or License Number,If applicable SEANBROWN inspector Signature 1 r'-------------------------------� r r r r r r r r r r r r r r r r r r i r r r r r i r r r L-------------------------------J Inspection performed in accordance tvifh NrSA Standard for the Inspection,Testing,and Maintenance of Water-Based Fire Protection Systems,2017 edition 4nf4 mm E m o= a ■ o • Yuu • lL a 4 d Q@ LD O a m $ 0 T�❑❑❑❑❑ LOnJ Li of nnnn n7J 7 T7ni a3i QAmam an`:gym �TdS n"SmiM E m w Hm�� cLi°`-'Q W. Z'.n mom$' i a. _ mg�m� E21U a2 3.c�6Em imh ?..m `'yyYom 'o -=di.cma i �nmg aE$ c�m c$m8A02. tO`®idZ"O'm�m'mEaE� °a'n��iAeai`-O W W D.L-U 68 O m �m E mm m� ='n� tON ESE V`.cm mL 01 yof nT a 9 m m Erd u 20M N c a`o Sm °'cry c �"mo920 3Ea 1 O �,mo a miLH mmm mt m cmi Na I co€R C n >mn U®® dm y AaZa�mi�QL m Wy i odd � n�m 'm U;E� m = caE�� i .�Q o Z`o h `°�ggd U o A 2222, m o E'm V g U-s 1 E ' m E `°L m EL'dmF�aomU m � o �hdy«: �. �HC ¢or m ¢ �QQ WV QNr =>ILO mC C'SOCULL m{i a --°o � v No �s ¢ EEC a m n Q Q O Y Z w`°m '� 22 008 ~ ❑ m j 1113 m a E 3 d d a rn o d u � o a`¢¢ornin¢ E • a� ❑O❑ O❑ E n c O N Z N C N >_ • Z aN coUl > -0 N u)Ul >> N 0 0 (D U V N N N N C, 0 U ❑ N > > ~ C C, C C N N O O • N r Q)« • N ¢ (n D'O N Y. 0 0 Q >C 47 O QQUUUU a6O111111O1.11 -0 f� S r ` (� = r �p c � = T _ o E �, yc >1 n czti op� o a) p cv0- � C,iul Y 6v n-o -o � m n CO c C) C, • N U yca •\_� _ C,) m Iti C 7 YO NN "-►af C, rIj n � C _ N O��VJJJ 11 �) to N c -0 w 1p C, _ m � CD 3 Via, 0 (`� � o Er- a Q Z E c L ro o 2 0 rn L E s _� V 7::)-\ �1 N n (n C x LL U 0 -0 0 T) U) U) E .E= o U) LL a-D IL 'T LO N 0 0 UJ cr— CIucy— ui M F— LU C) V) LU w >- _0 < 0 i2 a- U) LLJ ai LU LL Eco LU Y 0 (D z cm �j (D 00 0 0 0 >1 af t .:.� D m 0- > CO LU m W W ,acu z m cr cn — m m C/) f-U 1= 03-- rr —CU 2—' (D CD C:3 U)U) `.: Ln (D VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury www.tyebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino March 18,2024 Via 1«Class Certified Mail Glow Custom Airbrush Tanning C/o Ms.Jennifer Materia 14 Rye Ridge Plaza Suite 220 Rye Brook,New York 10573 Re: Glow Custom Airbrush Tanning,14 Rye Ridge Plaza Suite 220, Rye Brook,New York 10573 Dear Ms.Jennifer Materia, It has come to the attention of the Building Department that it has been over three years since the premises located at the above captioned address has undergone and successfully completed a Fire Inspection.Please note that you are required by Rye Brook Village Code§91-4.13,to undergo and successfully complete a Fire Inspection for this location at least every thirty six (36)months. In order to avoid a violation,please complete and submit the attached Fire Inspection/Operating Permit Application form, remit the correct application fee,and schedule your triennial Fire Inspection with the Building Department by no later than, April 18,2024,which is thirty(30)days after the date of this notice.Please note that the property owner's notarized signature, as well as the business owner's notarized signature must appear on the application form in the appropriate spaces. Upon successful completion of the Fire Inspection,you will be issued a Fire Inspection Certificate valid for three(3)years. Please remember that you must schedule your Fire Inspection every three(3)years by filing a Fire Inspection/Operating Permit Application,remitting the applicable fee,and scheduling your Fire Inspection with the Building Department at least thirty(30)days prior to the expiration date listed on your Fire Inspection Certificate. Thank you. Steven E.Fews Building&Fire Inspector Steve fews n ryebrook.org cc:Alfredo DiVitto,Assistant Building&Fire Inspector Laura Petersen,Office Assistant Alena Hakanjin,Property Manager /to r � J /� wJ VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.Wcbrook.org TRUSTEES BUILDING&FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino March 18,2024 Via Pt Class Mail Glow Custom Airbrush Tanning c/o Ms.Jennifer Materia 14 Rye Ridge Plaza Suite 220 Rye Brook,New York 10573 Re: Glow Custom Airbrush Tanning,14 Rye Ridge Plaza Suite 220,Rye Brook,New York 10573 Dear Ms.Jennifer Materia, It has come to the attention of the Building Department that it has been over three years since the premises located at the above captioned address has undergone and successfully completed a Fire Inspection.Please note that you are required by Rye Brook Village Code§91-4.13,to undergo and successfully complete a Fire Inspection for this location at least every thirty six (36)months. In order to avoid a violation,please complete and submit the attached Fire Inspection/Operating Permit Application form, remit the correct application fee,and schedule your triennial Fire Inspection with the Building Department by no later than, ,April 18,2024,which is thirty(30)days after the date of this notice.Please note that the property owner's notarized signature, as well as the business owner's notarized signature must appear on the application form in the appropriate spaces.Upon successful completion of the Fire Inspection,you will be issued a Fire Inspection Certificate valid for three(3)years. Please remember that you must schedule your Fire Inspection every three(3)years by filing a Fire Inspection/ Operating Permit Application,remitting the applicable fee,and scheduling your Fire Inspection with the Building Department at least thirty(30)days prior to the expiration date listed on your Fire Inspection Certificate. Thank you. Steven E. Fews Building&Fire Inspector stevefews6@ryebrook.org cc:Alfredo DiVitto,Assistant Building& Fire Inspector Laura Petersen,Office Assistant Alena Hakanjin,Property Manager /to D FRCIE �V1F, BUILD MENT f VI E OF RY OK MAY - 6 2024 938 KING ET RYE BR NY 10573 4 -0 Flu VILLAGE OF RYE_ BROOK BUILDING DEPART MENT FIRE INSPECTION / OPERATING PERMIT APPLICATIONS FOR OFFICE USE NLY: / / ,30A-m Fee Paid: $ Inspection Date&Time: P 04 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:Z- 1231 Zdl is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting that a Fire Inspection 6dcondiked 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. mom,1. Address: �% J I�G�SBL: /4/,c)7--/-7 Zone.0—14 2. Business/Occupancy Name. NYS Use Class: 3. Property Owner: a� Address: ' rn:i 91Zftie P` Phone# j±— Cell# email: �jn� (I�Z�J>✓ �{f 1� 5. Business Ownef�, _�W b2Z Address: �/f � /JnW, lee, bq Phone# �j �T�f� Cell email• 6. Emergency Contact: j1� } Address: Phone C'e;1 5)03 email: �- 7. Inspection Escort: Title: Phone#: Cell#: email: 8. Provide a brief description outlining the current and/or intended use of the property: 9. List all Hazardous Materials: MOAT—, 10. Occupant Load: Existing: Proposed: Other: 11. Date&Disposition of Previous Fire Inspection: I i L0 20 Pass ❑ Fail i sn 2/2021 This application must include the notarized signature(s) of the legal owner(s) of the above mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK ) COUNTY OF WESTCHEESTER ) as: H Ij CNM l liz 'Y tM A being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing application) and further states/thha�t�h�e/ he is the legal owner of the property to which this application pertains,or that he/she is the +-'V,,t"� uWlri1�' , 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 Z I Sworn to before me this day of fCi/ 20 day of , 20 gofProperty ry Notary Public �MAA Sign tu�re t3WMr i nature ofnApp ican of Print Name of Property Oawwr/WJ- int Name of A plican F HARD A.YARMYDYORK BLIC,STATE OF Ntion No. 01YA00d in Westchester C Ex fires Sc Member 2 8/12/2021