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HomeMy WebLinkAboutAbandoned Application June 24, 2020 Lester's 18 Rye Ridge Plaza Rye Brook, NY 10573 To: Building Department Please find attached: • Permit Application (please note that landlord has a copy and we are waiting for signature and notary but they are not in office due to COVID pause) • Insurance Certificate • Sketch indicating use of space • Map indicating location of business Please call Andrea Forbes, 914 261 1797, with any concerns. BUILD MENT 0 V Eol~ OK SUN 2 4 2020 938 KING 1; R NY 10573 (914)9 39-5801 VILLAGE OF RYE BROOK BUILDING DEPAP.TME OUTDOOR BUSINESS AREA PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: Permit»: Exp. Date: Approval Signature: Permit Fee: S CDIT,Q© f NYS Construction Classification: NYS Use Classification: Maximum Occupant Load: Reduced Occupant Load: Disapproved: Other: Application,dated: / is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting an Outdoor Business Area Permdin conformance with the Code of the Village of Rye Brook,the New York State Uniform Fire Prevention& Building Code,and all other applicable Local,County,State&Federal laws,rules&regulations,as per detailed statement described below. �I�z� Ib 1. Address: �Q L �SBL: _Zone: 2. Business Name&Phone#: (,QS_je yS 91 3. Business Owner: �l/✓Vl/J 9t1 p Y✓ Address: ,� Sly✓ /(j�` Phone# Cell#� / Alf. email: ,�j�rYe,/s � LA rS 5. Emergency Contact: C� ✓�� Address: �9� PA,,,4K D✓. Vivo) ),,sire/I ,/sF/ Phone# Cell# / —WK5- email: C- 4P l es*✓:S 6. Property Owner: 0, Address: Phone# Ce # email: 7. Provide a description detailing the intended Outdoor Business Area: L kAJ- I��'e P G �Q.✓�t,r, i �IQ bt Lf..�ed 0 ct 7 o 4-h n �h �S L Ce:Q55 o e-f 2S - I vl d qA-P 8. Proposed days&hours of operation of outdoor business area: po — G nj A-✓)ei A S&71t .rwx 9. Proposed patron/seating capacity of outdoor business area: 6itor-o20 STATE OF NEW YORK } COUNTY OF1 WESTCHESTER } as: &OZ A1 CC YEd ,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 _ ow-)`A� ,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 .20 day of Notary Public Notary Public J Signature of Property Owner Signature o ' p is nt Print Name of Property Owner Print Name of Applicant This application must include the notarized signature(s) of the applicant as well as of the legal owner(s) of the subject property in the spaces provided. r,1 W 2orti CERTIFICATE OF LIABILITY INSURANCE 06/22/20 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 MOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsement(s). R=3DUCER CONTACT NAME TICK & COMPANY INC PHONE Hollow Lane No _x1 (516) 365-6880 (o ;,No(516)355-6824 IL Lake Success, NY 11042-"1215 ADDRESS NI5l3RErtiS3 APF4R0046 COYErtIK.E MMq INSURER A GREAT AMLrRICAN INS CO - ISURED LESTER'S GIRLS SHOPS INC ETAL INSURER B TRAVELERS I 2411 CONEY ISLAND AVENUE INSURER BROOKLYN, NY 11223 INSURER0 INSURER E INSURER F *OVERAGES 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 SUEUECT TO ALL THE TERMS, EXCI USIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r TYPE Of =NSUIL4NCE POLICY NUMBER MM )DyYYY° MMtDD3YYYY LIMITS x COMIMMtu CA94ERAL LL48UJTY EACH OCCURRENCE $ 1,000,000 I CLAIMS-MADE r7X OCCUR PREMISE s Ea ocotarence s 100,000 i — __._ 660-6K25842A 3/2/202013/2/2021 MEDEXP(Any one person) $ 5 000 B PERSONAL&ADV INJURY 3 1,000 000 GEWL AGGREGATE LIMIT APPLJEfi PER, .GENERA AGGREGATE s 2,000,000 PRO- _-- _ _. POLICY JECT toc PRODt1CTS-COMP+OP AGG s 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea COMBINED ntl LIMIT„ $ ANYAUTO ? BODILY INJURY(Pe(pers<t) $ ALL OWNED SCHEDULED i BODILY INJURY(Per accident) $ AUTOS AUTOS RRWRTY DAMAGE HIRED AUTOS AUNUTOSSWt D i (Par accidentL $ ------ $ UMBRELLA tA6 j( OCCUR i EACH OCCURRENCE $15,000,000 I UMI31800433 3/2/2020 3/2/2021 - A EXCESS LAB CLAIMS-MADE AGGREGATE — $15,000,000 DED R RETENTIONS 10 000- ; WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STA'ri1TE_ ANY E.l. EACH ACCIDENT �$ urru:eAur*WER E)MLU0ED7 PROVIDED ELSEWHERE -#-- d �'"04) E.L. DISEASE-EA EWLOYE4 s If yes,descrAw mdet DESCRIPTION Of-OPERATIONS below EL.DISEASE-Pot ICY I.AXT I S 3 rESCRIPTION OF OPERATIONS 1 LOCAI Kt)NS!VEHICLES {ACORD 101 Additimal Remarks Scl:edcle may be attached if more apace is required) 'HE VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR fITH RESPECT OUTDOOR BUSINESS AREA AT THE FOLLOWING LOCATIONS: 18 5 14A RYE RIDGE ALAZA, RYE BROOK, NY. ,ERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 93$ RING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK, NY 10578 AUIHORI?ED REP SENTATNE 7 D 1988-2018 ORD CORPORATION, All rights reserved. #COR025(2014101) The ACORD name and logo are mgisterea marks of ACORD.. 6/18/2020 IMG-8347.jpg F011 ADD T M '+ ADD TEMPORARY PAINTED STOP+ , - ONE WAY SIGN ` # ; & SIGN RYE RIDGE SOUTH ENLAR AR LA -� p G� 0 U u u u t h0 x v X ° oa v) Lj an.�r 4 m PROPOSED '"` o N µ _ TEMPORARY OUTDOOR USE ,AREAS � � `� 1 ifi i \ r�� -i J . n �ti a• t�i� s_�. r' .ntkrw.z+a+rsxros PROGRE a,aanM.mc^cit�a PLOTnt r i rS7111.f7AII i0.(A'OIWM. �]ODdb'f C}LUTAi C/tlVQOfOR�Y p �� YK7rA fy(y=[f.OMI �f +' 3 RYE RIDGE PLAZA ENLARGED AREA °- � ~ - 1� + � r s rs « QD-i JUN 2 4 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT https://mail.google.com/mail/u/0/?tab=rm&ogbl#inbox/FMfcgxwHNgMhHVprHsFLXfQnCVshBhhS?projector-1 1/1 v �i C � o -0 :3 :3 O ° +• O C O N -0c U � J al O 30 Q i Q 4J i t 4- > v� JO in Q Y v 0) rn c �- � O V)M u1 O1 C vi a a O r, a ° 0 O 1N3Wl d3a ONI4lins W ° o 1�H d0 3OV-1-II � S � m Z a ° 0 0 GZDZ h Z Nnr m -C o 15 o i � N � � 4- O C 0 - - 2 Z3 m° o d Q- m