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HomeMy WebLinkAbout2024-2025 Operating Permits Crawford Mansion Community Center z �l z � O0 E w Fy O N Fww � z o cn O Z r-+ � w � � 0 � .� x O �" W o - oz w 04 w �a zwa O H z V 0 u p w a w w m P, ►�"� wF � wc� w v Ww ° Ax z0 A Z W o a/ A Uc7W .. OF � (.T� w o � o a ��". � d v w Hw z „ � z wwz O ° ww � M o chi tn w cwj AH � A W F-+ C) U � F Z wza �E BRC�vk. cu � • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 13 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 — 1C 1 61 1p J DATE: Z, 7 PERMIT# t r,4 + e2 c_+ ISSUED: SECT: BLOCK: LOT: 2-3 LOCATION: n M , OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Q ' ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GASV, ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER J2 �jM Q�Q (_ O. tv ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL 42 ❑ OTHER R fl 1 P L I)IN G D.E PART:M::ENT Initial Inspection Date: ❑ Pass ��0�0��,(�L1; meRYIC BROOK STEViIN ri..hl ws 938 Kmc `i'i rue,I', RwA0?.om,.Nrw YoRIc 10573 8 -2!- 2 of y rr rail BUILDING&Mimi INSPUK IM (914)939-0668. FAX(91.4)939-5801. Re-inspection Date: ❑ I'ass slcvelows(N?rychnn�k_��i www.lyl`I} _ Fail I+Illy, INS111'(110N RETORT, N(YI'i(y OF VIOLATION &. O12D 12 TO REME W SAME' Site Address: 7 7_/V_p le T A_ _ I .�GLE._._ ST�Tlone:. ,SBL: /3S; 5-40_ Occupancy:_CRP v*LFQ►2 J _MAN S 1 o/V State Use Classification: A —Z Business Owner: M�—!.O lV C 0 ff M U N r CEivTc2 Phone._ Building Owner: Emergency Contact: _ _ Phone: R /y. P30" ©a ,(/ Building Representative in Aticudance: -- 'fake notice that the following violations ol'the Now YoA Slate Uni-form lire Prevention&Building Code and/or the Code of the Village of Ryc Brook were found to exist at,_./ZL_ /YO AT# �/Q��—_-Q�,in the Village of Rye Brook, NY on, 1&_U 6T .-_Z j-_-20 Yuu arc hereby directed to obtain the necessary permits and to correct all violations immediately.You Luc turtlicr directed to contact the,IluiWing Department during normal business hours to schedule a re- inspection of the premises to c onfirru that all violations have hoop corrected,and that the premises is in full compliance with all applicable codes,laws,rules&regulations.Be advised that your htilurc:to comply with the directives contained herein and to correct all violations is a cruse punishable by fine,inq)risoau)cnI.or hollt. ---- - ------------------------------------------ No Vies N/A 1.1POR'1'ARI�N;TIRN;I�;R'1'INC:Uiti111�ILs (Pf'1�'S) a.900.1 Are PFE's unsstallcd throughout the space-k on I:hc prertti:;es.is required by code. a � b.906.3.1 Is the maximum travel distance to a PIT 75 tcct or less. b — � — c.906.5 Are PFE's conspicuously located&readily acccssihle. e — — d.906.6 Are PFE's unobstructed/uuobscure(d tionn view. d -- � e.906.7 Are PFE's properly mounted as per the u)anutitcturet;s instructions. e — v — f 906.9 Are PFE's installed so that the top is not higher than 5 feet above the floor. f -- 2.TIRE;ALARM SYS9'14M&SMOKE KE IDPA'1:',("IYNtS a.901.6.1 is the fire alarm systchu inspected,tested&_n aint.thied in accordance with NITA 72. a,— � — b.907.4.1. Are 111111111411 pull stations located within 5 feet of cxiLs&wit:inin 2001'ect of each other. b.__ c.907.4.2 is the height of the pull station handle located I)ct.wc en 42&48 incites above the floor. C. _ 17 — d.907.3 Is a fire alarm system provided it)existint;huildint r;<Ls 1)er section 907.3.1 &907.3.2. d, 7�7 — 3.F IRF;SPRINKLER Sv5'1'ISM&I+WE I I.Yi RANT• a.901.6.1 Is the sprinkler system inspect"],tested&nnarntaned in accordance with NFPA 25-13. a. b.901.6.1 Are the main valves secured ag:dust tttnlpering.in the open position. b. — c.901.6.1 Are sufficient clearances utaintaitied frolu Lire sprinkler_-teack to fixtures or materials. C. — d.901.6.1 Is a supply of six spate lu;a.ds c%a wrench ntuinl:lined oil the premises. d,_— c.901.6.1 Arc sprinkler heads&cover plates uf f nished or of flacto y applied finish only. e•f.901.6.2 Are records of all system inst)cctions, tests&mainwaan _ce 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 systclu properly maintained,operti.ior_al,compatible w/NST&tested annually. h. i.508.5.4 Are fire hydrants<<$fire protection eyuipn)ccil:itnedntruct:ed. L— f — j.508.5.5 Is a clear space of not less that 3 feet tnalintainul around a.11 hydr.uttsIB. `t v f� DATE: �Z 1 r 2 2`71 Revistx12/10/11 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. _ se _ d.905.7.Are cabinets containing fire fighting equipment unobsuructed/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-ice from obstructions or impediments. a. b. 1028.3.Is the means of egress free fiom 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. is g. 1029.7.1.Are exits marked by a properly located,approved&readily visible exit sign. g. _ ✓ h. 1029.7.1.Is the maximum travel distance to any exit sign in,m 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. L 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 mai_tained at least 36"wide where fixtures I. 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 0;more people. — — 6.COMBUSTIBLE STORAGE&WASTE MATERIALS a.304.1.Is premises&building maintained free from accumulated combustible waste material. a. _ r 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 fiom 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 faeled 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 fiom modified/damaged wiring,devices,appliances,equipment and b. _ — maintained free fiom electrical hazards. — — — c.605.2.Are electrical service equipment area, 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. — g.605.4.Is the building fiee from unfused multi-plug electrical adapters. — 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. — j. 605.6.Is the building free from open-wiring spliced electrical connections. — — 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. — INSPECTOR: �` \. _ �" �. DATE: Revised 2/10/11 8.TLrVATopgs.DuMRWAiTrRR&1�SCAT ATORS Nc► YES N/A a. rPM]606.1.Are elevators property mailit lined,and is tbe.ru.rretit certificate of inspection on the premises. a. _ f b. 607.2.Are approved stand,tr(lized,pictorial signs posted;idj;r.,ont to each elevator call station on all b. -- 110011%reading; IN hlltli H:M1.12(:I?N('1',I)(1 N(a't'I Itil 111-INAI'(tlt I ISI{FAI•I STAIR1 — c.607.3.Are keys for elevator car doors&giro deTarhlncnl.Se"vic.0 l eglt in an approved location. C. ✓ _ d.315.2.3.Are elevator machine rooms maintained frcc ti'om s'forod combustible material. d. e. [13]3006.1.Are elevator machine rooru door,S maint:ainel t.l.no�struciul at all times. c, — 9,COMMrRCIAI,Ki rcPi1?N.S a.904.11.5.Are poititble Class K tire,extinguishers within 30 fact:of cooldng equipment. a. b.904.1 1.6.l.is the fire protection cxluil»Went inspcc:tod,tested&maintained as per Section 901.6. b. ✓ a.904.11.6.4.Arc automatic tiro extinguishing systellls serviced at least every 6 months&eider system C. _— activation,and is the certificate of inspection forwarded to the code en1'oreclnent official. d.904.11.6.5. Are lusible links&aut:anratic sprinkler heads replacer annually. d. 10.MATING SYtiTIsMti a.[PM:I 603.1.Arc all beating applita7cos properly installed R.ulalntlined in a safe woddug condition. a. _ b.[PM]603.2.Arc all fuel-burning applirotces V equipment.connected to an approved chimney or vent. b. %/ — c.[pm]603.3.Are heating appliances maiuWned with prop(:r cle,1ral1Ceti 1i7 -i COin w tllllC miaterlal. e, - d.(PM]003.4.Aro safety controls ti)r fuel-bttrnil7[c,clttipntent an tintaincd in ei.loctivc operation. d � — c.[1'M'I 603.5.is i:bc fuel huruitlV,,equipment:ptovidod wish aadel_uate conibustion(k ventilation air. e, — 1.1..MOTOR Fuig,I)ISPURSING 1+A('ILITII!s&RIr1'ARt(;AItA(:ta — — a.2203.2..Is an approved,readily identificAl&readily accessible emergency disconnect switch provided a, in an approvcxl location withilr 100'ol;btat not:10sN tham 2(1'from fuel dispensers. -- — b.2204.3.4.Arc dispenser operating instnictiotlti conspicuously posted on every fuel dispenser. b. _ x c.2204.2.4.Are fuel-dispensers unobstructed&in clear view of the atten(liuit at all times. — d.2205.5.Are approved portable ire extili ruishers com ll• in' C. — � I Y with Section 9U6 with a minimum rating of d. 2-A:20-13:C provided elk located not more tbml 7.5' 17•ciu pumps,dispensers&fill-pipe openings. — — e.2205.5.Are war ring sil~ms provided. postcd within r;t!*hr.of each dispenser as per this section. e. t:2205.7.Are combustible materials kept at lc;ttii. 10'ficmt iitcl-h;lndltng eluipnlent. f — — g.2200.4.Are above-grclturd tanks provided with vehicle inlpaer protection. - — h.2206.5.Are above-ground tanks provided with secondary sp gill containment. h. — — 1.2.D.AMRUotis MATERIA1 S c. 407.2.Are M.S.1).S.for all haztltdolLs materials readily available on the premises. a. d.407.3.Are spaces and individual contaainctw c(lnttininp,haz-plats properly labeled&identified. b. _ e. 2701.4.Are haz-mats reported annually as iuluired by(ioneral Municipal I..itw Section 209u. C. — d.2703.7.1.Are proper No-MOKING signs provided aas per this Section. d. 13.Mi-iCELLANN;011,S a.404.2. Is an approved lire klfoty 8r evacuatirnl plan prepared&L IMinttinc(I far the building/occupatacy. a. b.405.2.Are emergency evacuation dolls conducted al:Iho inierwa N a.1 specified in Table 405.2. b, -- c.405.5. Arc records kept&nuaintainel Olt tile pren118C6a lit"cnteryleucy evacuation drills. -- — d.505.1.Arc approved address&building nurubc:r S properly plaacd.Kl.plainly visible from the street. d. c.506.1.Are approved key boxes(tnlox Iwxox)provided,prul7c;"ly ;rratel��eduippcd wills the proper keys. e. — •/ f.703.1.Is all required tiro-resist ace rated coustructiull properly onailit<nitlel as per code. f'. — �4 — g.703.1.Are openings through foe-resistance;rated aasscnlblics ila•operly protected&maintaained. — h..3003.5.Are compressed gas cylinders&syst.enls.ecurecl.�.s.l'cguarcled against damage&access. 1. _ _✓ — i.3003.6.1.Are compressed gas cylinder caps or collet"S in place at all times except when tanks arc in use. 14.GrNrRAL AOu,'.,I(rWPiNG a.Good b. Fair c.luadoquaate ' - --- d.Poor ---- ..._ ITCM NumREI R REMARKS 27�N F U k1E �u �sT3 i�e6'� `s Pali 7 .41 G , DNT2 �a/Z S/Crn/ NE��S TO E J6 PI4-c e 6 . --N Fes_6 C,PAR INSPECTOR: DA"f E: a. Revised 2/10/11 Certified Elevator Inspections, Inc. Invoice 420 Columbus Avenue Suite 310 Date Invoice# Valhalla, NY 10595 12i20i2023 2010 Bill To Town of Rye Supervisor's Office 222 Grace Church Street 202 Port Chester NY 10573 Attn: Victor Federico Terms Account# Net 10 122 North Ridge Street Description Quanity Rate Amount December 8,2023-Witnessed the NYS code required annual no load safety test on one 1 300.00 300.00 two stop passenger elevator located at 122 North Ridge Street. Test performed by Schindler Elevator. We appreciate your prompt payment. Total $300.00 KNAI QEAESA Cenfied Certified Since Certified Elevator Inspections, Inc. Since 1993 420 Columbus Avenue, Ste. #310, \alhalla, 1N' 10595 • Phone: 914 428-3419 • johneei(a-optonline.net December 8, 2023 222 Grace Church Street Port Chester, NY 10573 Attn: Victor Federico Re: 122 North Ridge Street Elevator Cat 1 Test Dear Sir- On December 8, 2022 we witnessed the code required no load safety Cat 1 safety test on one WRL" 30001b capacity passenger elevator, located at the above referenced address. The test was performed by the Schindler Elevator. The elevator was tested to ensure compliance with elevator testing procedures according to the requirements of ASME Safety Code for Escalators and Elevators, as referenced by The 2020 NYS Building Code, Chapter 30. However a violation was revealed during the testing of this elevator: 1. Fire recall cancel button does not work, please instruct you elevator contractor to correct this violation ASAP! This elevator is deemed safe for passenger use, but compliance is mandatory! If you have any questions regarding this report, please feel free to contact my office. Yours truly, John G. Bochinis Certified Elevator Inspector NAESA Cert. #C-875 NYS Lic. #132-21-01159 C.c. Schindler Elevator Corp. Building Inspector Michael Izzo NEW YO STATE DEPARTMENT OF HEALTH Report on Test and Maintenance Bureau off Public Water Supply Protection Empire State Plaza-Corning Tower Room 1110 Albany,NY 12237 of Backflow Prevention Device OPublic Please use a separate form for each device. For the year 2022 � Initial test- Complete entire formQ Annual test-Complete Part A only Water Supply Account No. Count Block Lot Facility Name Crawford Mansion Location of Device Address 122 N Ridge St, Rye Brook, NY 10573 First Floor mechanical room Street City Zip Device Manufacturer Type RPZ el Size(in inches) Serial Number Information Q DCV X�.� a 0 / Check Valve No.1 Check Valve No.2 Differential Pressure Relief Line Firessure psi Valve Test Leaked Leaked Opened at4111-psid Date before Closed tight Closed tight repair Pressure drop across first check valve M D Y psid Describe Repaired by repairs and Name materials used Lic# Date repaired: m M D Y � m Final test Closed tight Closed tight ❑ Opened at psid Date Pressure drop across first M D Y check valve psid Water Meter Number Meter Reading Type of Service:(check one) /3 )omestic I Fire Other Remarks(Describe deficiencies:bypasses,outlets before the device,connections between the device and point of entry,missing or inadequate airgaps,etc.) Certification:This device � meets, 11 does NOT meet,the requirements of an cc table containment device at the time of testing I hereby certify the foregoing data to be correct. ' Km McCabe �y 3 an?5 Print Name Certified Tester No. Signature Expiration Date Property owners(or owners agent)certification that test was performed: Print Name Title Signature Telephone Certification that installation is in accordance with the approved plans. (To be completed by the design engineer or architect or water supplier.) I hereby certify that this installation is in accordance with the approved plans. Name Title Date NYS DOH Log# License Number Phone( ) m d y Representing Describe minor installation changes Address City State Zip Signature NOTE:Send one completed copy to the designated health department representative and one copy to the water supplier within 30 days of the testing device. Notify owner and water supplier immediately if device fails test and repairs cannot immediately be made. DOH- 1013(9/91) NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Public Water Supply Protection Report on Test and Maintenance Empire State Plaza-Corning Tower Room 1110 Albany,NY 12237 of Backflow Prevention Device Please use a separate form for each device. For the year 2022 0 Initial test- Complete entire form Q Annual test-Complete Part A only P1.1h. ater Supply Account NO County Block Lot Facility Name Crawford Mansion Location of Device Address 122 N Ridge St, Rye Brook. NY 10573 First Floor mechanical room Street City Zip Device Nilanufacturec Type 0 RPZ Modeiv Size(in inches) / , S Number Information DCV 3 y Check Valve No.1 Check Valve No.2 Differential Pressure Relief Line Pressure_ psi Valve Q Test Leaked Leaked 0 Opened at psid Date before Closed tight Closed tight repair Pressure drop across first check valve M D Y psid Describe Repaired by repairs and Name materials used Lic# Date repaired. m � m M D Y Datem � m Final test Closed tight Closed tight ❑ Opened at psis Pressure drop across first M D Y check valve psid Water Meter Number Meter Reading Type of Service:(check one) domestic Fire Other Remarks(Describe deficiencies bypasses outlets before the device connections between the device and point of entry missing or inadequate airgaps.etc) Certification This device X meets 7 does NOT meet,the requirements of aaa epta tainment device at the time of testing I hereby certify the foregoing data to be correct. Ien McCabe 10()39 03 11_'P(1'); Print Name Certified Tester No Sigratcre Expiration Date ;4,','n perty owners(orowneerm agent)certification that test was performed: t Name Title S�igna ure Telephone Certification that Installation is in accordance with the approved plans (To be completed by the design engineer or architect or water supplier) I hereby certify that this installation is in accordance with the approved plans Name Title Date NYS DOH Log# License Number Phone( ) m d y Representing Describe minor installation changes Address City State Zip Signature NOTE Send one completed copy to the designated health department representative and one copy to the water supplier within 30 days of the testing device Notify owner and water supplier immediately if device fails test and repairs cannot immediately oe made DOH- 1013(9191) MEMBER N.F.P.A.. MEMBER I.K.E.C.A.,MEMBER N.F.S.A., MEMBER N.A.F.E.D. INTERSTATE FIRE & SAFETY EQUIPMENT COMPANY, INC. 192246 Remit to: P.O. Box 502 Correspondence to: P.O.Box 4165 Harrison NY 10528 Greenwich CT 06831 (914) 937-6100 9 (203) 531-1333 • (914) 937-9723-FAX http://www.interstatefireandsfty.net NASSAU-AEL01260 NYC-81754822 FIRE EXTINGUISHERS/FIRE SUPPRESSION SYSTEMS/RESTAURANT NASSAU-969977428 NYCP01 NASSAUHOOD INSTALLATIONS I RESTAURANT VENTILATION CLEANING SUFFOL -1200004760 NJ-P01090 SUFFOLK-122 CT-F30002 SALES&SERVICE HUNTINGTON-F015927 CT-SM5-5598 MA-CR4622 CUSTOMER NAME: TECH ID: DATE: to jf d $vto 9/ 7/Zv PHYSICAL ADDRESS: 0 R c e Sr PHYSICAL.1;:fCI�N,STA,T�E,1P:/O-"l ( 1 - BILLING ADDRESS: BILLING CITY,STATE.ZIP: FAX: KITCHEN SERVICE INFORMATION CHECK/N: CHECK OUT: 1) Fans working properly? DYES ❑NO ❑N/A 1) Fans working properly? DYES ❑NO ❑N/A 2 Defects in fan wiring? DYES ❑NO ❑N/A 2 Hood wiped down? DYES ❑NO ❑N/A 3 Hood lights working? DYES ❑NO ❑N/A 3 Kitchen floor mopped? ❑YES ❑NO ❑N/A 4 Hood globes resent? DYES ❑NO El N/A 4 Outside area clean? DYES ❑NO ❑N/A 5 Hood globes undamaged? DYES [:]NO ❑N/A 5 Hood lights working? ❑YES ONO ❑N/A 6)All filters in hood? DYES ❑NO ❑N/A 6 All filters in hood? ❑YES [:]NO ❑N/A 7 Filters conform to code? EIYES ONO ❑N/A 7 Do inaccessible areas exist? DYES [:]NO ❑N/A 8 Grease build-up on fan rd 1 r. 8 Frequency of cleaning ok? DYES ❑NO ❑N/A 9 Grease build-up around fan NIP 9 Pilots lit? DYES ❑NO El N/A 10 Grease build-up in ducts N1 10 Photos taken? E]YES ONO ❑N/A 11 Grease build-up in hood N 11) Fire s stem within service interval? EIYES ONO ❑N/A 12 Grease build-up on filters 12 Fire extinguishers within service interval? ❑YES ONO ❑N/A C MM N t• , 11 . ]F 5� ,� t/1 "Mot)S, v) �, �.�... ,i�t l� r►,,.SS� V 11, (0~- On ....�............ ................................................................................ ......................... .................................... .................................................. ..... SYSTEM SERVICE CYCLE REFERENCE PER N.F.P.A.STANDARDS NOTE:CUSTOMER IS RESPONSIBLE FOR ENSURING SERICES ARE COMPLETED AS REQUIRED.FOR MORE INFORMATION.PLEASE CONTACT THE N.F.P.A.AT 617 770-3000 Hoods stems serving solid fuel operations-Inspected every month Hoods stems serving moderate operations-Inspected semi-annual) Hoods stems serving high volume wok,char broiler -Inspected quarterly Hoods stems serving low-volume operations church,etc. -Inspected annual) Kitchen fire suppression systems-Inspected&serviced semi-annually Fire Extinguishers-Inspected&serviced annual) QTY DESCRIPTION PRICE EXTENDED 1 n��l fC-lOL 3 1c/./,c 2 „ (ode 3 Bvc t of eFp-- ' wPj QVe) (A(-( Slleekff, l Wit.- Sal-li&e 4 Ck i t I`t N�n A 1-7 5 � " a , A1 /a ��tFC CdXJ,P_ q 6 13 b0 00 'n� I n1�1e� Thor+ CI�Ct i ! Coy ., I��r,(cA 1 P,V, N: $ �i` ) �f I o/ /� f ( API P1 �rF - i ��, c ?lT� �' ,rJ«15 I) �1F? 9 SALES TAX — RATE: % (TAX EXEMPT #: ) TOTAL DUE CLAIMS OF UNSATISFACTORY WORKMANSHIP MUST BE MADE WITHIN 48 HOURS OF SERVICE.INVOICES ARE SUBJECT TO AN INTEREST RATE OF THE GREATER OF 1.5%PER MONTH (18%PER ANNUM)OR THE MAXIMUM RATE ALLOWED BY LAW ON ANY UNPAID INVOICES THAT ARE NOT PAID WITHIN 15 DAYS.IN THE EVENT OF DEFAULT,INTERSTATE FIRE&SAFETY EQUIPMENT CO.INC.SHALL BE ENTITILED TO RECOVER COSTS OF COLLECTION.INCLUDING REASONABLE ATTORNEY FEES.INTERSTATE FIRE&SAFETY EQUIPMENT CO.INC.IS NOT AN INSURER,OUR LIABILITY ON DAMAGES,NEGLIGENT OR OTHERWISE ARE LIMITED PER THE TERMS LISTED ON THE REVERSE SIDE OF THIS DOCUMENT.THE CUSTOMER CAN REFUSE TO AGREE TO ALL TERMS BY CANCELLING THEIR SERVICE 48 HOURS PRIOR TO SERVICE.THE CUSTOMER IS RESPONSIBLE FOR ENSURING THAT FIRE PREVENTION EQUIPMENT AND KITCHEN HOOD SYSTEM SERVICE CYCLES ARE FOLLOWED. CUSTOMER PRINTED NAME: i / TITLE: DATE: q (� � � � y I CUSTOMER SIGNATURE: TECHNICIAN SJ E: YOUR SIGNATURE RE ABOVE INDICATES THAT YOU AVE READ.UNDERSTOOD AND AGREED TO THE TERMS ON BOTH SIDES OF THIS DOCUMENT. WHITE-OFFICE COPY PINK-CUSTOMER COPY YELLOW-ACCOUNTING COPY Customer Acknowledgement The customer acknowledges that any inspection of a customer's fire protection equipment by Interstate Fire & Safety Equipment Company, Inc. is Iiri6ed to identification of deficiencies that nn.ay iinrede or hinder the intended function of the equipment and that Interstate Fire & Safety Equiprttent,Company; Inc. is not responsible for, nor capable of', identifying by an inspection,:every defect that may ad-.ersely affect the system's performance, particularly those defects Of a latent nature, defects or omissions related to the manufacturer's design and instructions or defects which exist in inaccessible areas of the system,whether or not such defect's existence could have been detccvPd by Idspection had the area been accessible at the time of inspection. The customer also acknowledges that it is beyond Interstate Fire&Safety' Equipment Company,Inc.'s ability to determine within any degree of certainty whether anv fire equipment is capable of extinguishing any fire as intended by the manufacturer of the equipment, even if such equipment is in perfect working order and properly installed in strict compliance with the manufacturer's listed installation and design manual and any applicable federal, state, and/or local laws. The customer also acknowledges that Interstate Fire& Safety Equipment Company,Inc. is not an insurer and that customer assumes all risk of pmpert• uamage and/nr loss of life to the customer's employees,patrons,vendors;or any other persons on the customer's premises where the fire equipment is installed and that Interstate Fire& Safety Equipment Company, Inc. neither bears nor assumes any responsibility whatsoever for any loss or damage resulting from any causes beyond Interstate Fire& Safety Equipment Company, Inc.'s reasonable control, including, but not limited to, if the fire equipment: fails to function as intended or expected, is outdated, has been tampered with, altered, or ha-s been improperly used or maintained, or if the hazard protected by such equipment has changed since the time of the fire equipments ir-,tallation. Regardless of all else, Interstate Fire& Safety Equipment Company, Inc.'s liability on any claim of loss arising,out of or connected with the.fire equipment sold or serviced as listed on the face of this document shall be hinited to the total cost of the inspection and/or service and in no cases shall . interstate Fire& Safety Equipment Company, inc. be liable for any special, incidental, or consequential damages. Interstate Fire& Safety Equipment Company, Inc.reserves the right to forward copies of invoices,inspection reports and any other documents generated by services provided by us. to the local authority having jurisdiction;our insurance providers, and the customer's insurance provider with or without the customer's prior consent. Customer's Responsibility This statement of customer responsibility is provided for informational purposes only, Interstate Fire& Safety Equipment Company,Inc. does not warrant this statement for accuracy, conclusiveness, and/or its scope. It shall remain the customer's responsibility to contact the appropriate agencies for more information. As per the National Fire Protection Association's 10 fire_ code specifications,the customer is responsible to perform monthly inspections of all fire extinguishers as directed by the manufacturer's instruction manual. This inspection shall z include,but is not limited to:a check of the fire extinguisher pressure gauge, a check of the cylinder for damage such as rust,dents,chipped paint,and documentation that the check-was performed on the fire extinguishers tag. As per the National Fire Protection Association's 17A fire code specifications,the customer is responsible for performing monthly inspections on fire extinguishing system for the cooking media. The customer must perform inspections as per the fire equipment manufacturer's UL listed owner's manual or installation and design manual. Should the customer detect any deficiencies in the fire equipment, it shall remain the customer's responsibility to contact Interstate Fire& Safety Equipment Company, Inc. for service. The customer is also responsible for ensuring that all equipment protected by the fire extinguishing system for the cooking media be UL listed and be in the proper position. Steam Cleaning to the restaurant exhaust systems are performed as per the applicable sections of the National Fire Protection Association's 96 fire code specifications. Interstate Fire& Safety Equipment Company, Inc. is not responsible for grease accumulation on rooftops as a result of an improperly installed system or a system that is lacking a listed grease collection system per this same specification. As per the N.F.P.A. 96 standard,the customer is responsible for ensuring compliance with the applicable sections of the N.F.P.A. standard. Copies of the referenced National Fire Protection Association fire code specifications can be obtained from said organization by calling 1-617-770-3000. SYSTEMS-FIRE HOSE 96 ION SYSTEMS MATIC ALL SAFE SPR NKLEROSERVICE EXHAUST CLEANING A EOXIITOLIGHTING L EMERGENCY LIGHTING BATTERY BACK UP SYSTEMS•FIRE ALARMS•BACK FLOW TESTING irm PR®U ®N 375 Executive Blvd. • Elmsford, NY - 10523 • TEL 1-(888) 325-5723 • FAX (914) 747-3983 Co Licensed in NY, CT, LI & NJ www.alisafefireprotection.com N2 069564 Customer Name: Arrival Time: Departure Time: Address: 42.2 Q. C�onP� Bill To: City/Town: : )M k State:__ _— Zip: Address:�O�$C7 Phone #: Zip Code: Phone#: E-Mail: Contact Name:x I G �deri cb DATE: l &b Z ANNUAL SERVICE SEMI-ANNUAL❑ MONTHLY❑ NEW ACCOUNT❑ EMERGENCY CALL❑ OTY. E) INGUISHER LOCATION RE- SERV. Hydro T TAKEN NEW RETURN REPL. 6 YR. AMOUNT CHARGED ReCh9 EXT. LFT. MAINT. 2.5 ABC 2.5 ABC 5 ABC 5 ABC 1�2c,J 5einks 10 ABC '( 10 ABC �y�j�rrLcA rC} o li,15 -1 10 ABC � � E-.r Zoo c-r� ✓ O l 20 ABC 20 ABC 20 ABC FIRE SYSTEM FIRE SYSTEM CLASS K CLASS K EMG.LIGHTS PW CO2 WHEELED UNIT FIRE HOSE COVERS CABINETS PARTS BULBS REG / FLORESCENT BATTERY'S HOOD JARS LINKS CARTRIDGES CAPS STRAPS WIRE LEADS S/S DIVIDERS VALVE STEMS PINS O RINGS SAFETY DISKS BRACKETS SIGNS GAUGES _ DETECTION AMT. TEES CONDUIT CARTRIDGE IN OUT NOZZLES AMT. GUAGE PIPE TAGE YES NO NO GAS VALVE TYPE CART.WT. MANUAL PULL HOOD AND YES NO DUCT PIN (IN)0(OUT) MICRO-SWITCH REMOTE PULL EXC SE YES NO 1 AGREE THAT THE ABOVE INSPECTION PROCEDURES ` ' ❑ ❑ TERMS:C.O. . ❑ A FUNEIPT OF INVOICE❑ HAVE BEEN COMPLETEDIDELIVERED. ❑PARTIAL ORDER ❑ ORDERED COMPLETE CREDIT CARD TECNICIAN SIGNATURE • CUSTOMER PC_ goV PRINT NAME PRINT NAME __ SALES•SERVICE•RECHARGING•INSTALLATION•PORTABLE EXTINGUISHERS•AUTOMATIC SYSTEMS '`•° �d�SAFE FIRE HOSE•CODE 96 VENTILATION SYSTEMS•SPRINKLER SERVICE•EXHAUST CLEANING•EXIT LIGHTING N RRE SPRMLER SY57 MS EMERGENCY LIGHTING•BATTERY BACK UP SYSTEMS•FIRE ALARMS @ BACK FLOW TESTING + 41 375 EXECUTIVE BLVD. ELMSFORD,NY 10523 TEL 1-(888) 325-5723 FAX(914) 747-3983 Licensed in NY,CT,LI&NJ mow allsa"reprotee ion.com 17941 Arrival Time: De artureTime: I Technician Name: Customer Name: S Q Bill To: Address: e Address: Zip Code: Phone#: Zip Code: Phone#: E-Mail: Contact Name: DATE:! ANNUAL SERVICE SEMI-ANNUAL ❑ MONTHLY ❑ NEW ACCOUNT❑ EMERGENCY CALL ❑ CITY. I DESCRIPTION TOTAL 1 pp S �vr I,, yl _S �s SUB TOTAL VISA ❑ MASTERCARD ❑ TERMS:C.O.D.❑ PAYABLE UPON RECEIPT OF INVOICE❑ TAX CREDIT CARD iJt� DEPOSIT BALANCE DUE CUSTOMER:X INSPECTION AND TESTING FORM Date: 2-24-24 Time: 9:13 AM SERVICE ORGANIZATION PROPERTY NAME(USER) Name: RYE BROOK SECURITY Name: CRAWFORD MANSION Address: 4 JENNIFER LANE Address: 122 N. RIDGE STREET Representative: JOHN BERARDI RYE BROOK,NY 10573 License No.: 12000017294 Owner Contact: DEBBIE REISNER Telephone: 914-934-7700 Telephone: 914-939-3553 MONITORING ENTITY APPROVING AGENCY Contact: USA CENTRAL Contact: Telephone: 914-939-6660 Telephone: Monitoring Account Ref.No.: 92-4242 SERVICE TYPE TRANSMISSION [:]Weekly []Monthly [:]Quarterly ❑McCulloh ❑Multiplex ®Digital ❑Semiannually ®Annually ❑Other(Specify) [I Reverse Priority [:1RF ❑Other(Specify) Control Unit Manufacturer: FIRELITE Model No.: MS9600UDLS Circuit Styles: POLLING Number of Circuits: 1 Software Rev.: Last Date System Had Any Service Performed: 9-26-19 Last Date That Any Software or Configuration Was Revised: NEW ALARM-INITIATING DEVICES AND CIRCUIT INFORMATION Quantity of Quantity of Devices Installed Circuit Style Devices Tested 10 POLLING 10 Manual Fire Alarm Boxes 0 0 Ion Detectors 42 POLLING 42 Photo Detectors 0 0 Duct Detectors 16 POLLING 16 Heat Detectors 2 POLLING 2 Waterflow Switches 7 POLLING 7 Supervisory Switches Other(Specify): Alarm verification feature is ❑disabled ❑enabled NFPA 72, Figure 10.6.2.3(p. 1 of 6) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION Quantity of Quantity of Appliances Installed Circuit Style Appliances Tested 0 0 Bells 0 0 Horns 0 0 Chimes 7 B 7 Strobes 0 0 Speakers 22 B 22 Other(Specify): HORN/STROBE No.of alarm notification appliance circuits: 4 Are circuits monitored for integrity? ®Yes ❑No SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION Quantity of Quantity of Devices Installed Circuit Style Devices Tested NA Building Temp. NA Site Water Temp. NA Site Water Level NA Fire Pump Power NA Fire Pump Running NA Fire Pump Auto Position NA Fire Pump or Pump Controller Trouble NA Fire Pump Running NA Generator in Auto Position NA Generator or Controller Trouble NA Switch Transfer NA Generator Engine Running NA Other(Specify): SIGNALING LINE CIRCUITS Quantity and style of signaling line circuits connected to system(see NFPA 721, Table 6.6.1): Quantity 4 Style(s) B SYSTEM POWER SUPPLIES (a)Primary(Main): Nominal Voltage 110 Amps Overcurrent Protection: Type CIRCUIT BEAKER Amps Location(of Primary Supply Panelboard): BASEMENT Disconnecting Means Location: BASEMENT NFPA 72, Figure 10.6.2.3(p. 2 of 6) copyright©2009 National Fire Protection Association This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (b)Secondary(Standby): 2-12 volt Storage Battery:Amp-Hr Rating 12 amp hour each total 24 amp hr Calculated capacity in 16.07 Amp-Hrs to operate system for 60 hours Engine-driven generator dedicated to fire alarm system: NA Location of fuel storage: NA TYPE BATTERY ❑Dry Cell ❑Lead-Acid ❑Nickel-Cadmium ❑Other(Specify): ®Sealed Lead Acid (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 PRIOR TO ANY TESTING NOTIFICATIONS ARE MADE Yes No Who Time Monitoring Entity ® ❑ USA CENTRAL 11:06AM Building Occupants ❑ ® NONE Building Management ❑ Other(Specify) ® ❑ 60 CONTROL/RB 11:08 AM POLICE AHJ Notified of Any Impairments ❑ SYSTEM TESTS AND INSPECTIONS TYPE Visual Functional Comments Control Unit Interface Equipment Lamps/LEDs Fuses ® ❑ Primary Power Supply Trouble Signals Disconnect Switches Ground-Fault Monitoring NFPA 72, Figure 10.6.2.3(p. 3 of 6) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. SECONDARY POWER TYPE Visual Functional Comments Battery Condition ID Load Voltage ❑ Discharge Test ❑ Charger Test ❑ Specific Gravity ❑ TRANSIENT SUPPRESSORS ❑ REMOTE ANNUNCIATORS NOTIFICATION APPLIANCES Audible Visible Speakers ❑ ❑ Voice Clarity ❑ INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS Device Visual Functional Measured Loc.&S/N Type Check Test Factory Setting Setting Pass Fail ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Comments: EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional Comments Phone Set ❑ ❑ Phone Jacks Off-Hook Indicator ❑ ❑ Amplifier(s) ❑ ❑ Tone Generator(s) ❑ ❑ Call-in Signal ❑ ❑ System Performance NFPA 72, Figure 10.6.2.3(p.4 of 6) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. Visual Device Operation Simulated Operation COMBINATION SYSTEMS Fire Extinguisher Monitoring Device/System ❑ ❑ ❑ Carbon Monoxide Detector/System ® ® ❑ (Specify) ❑ ❑ ❑ INTERFACE EQUIPMENT (Specify) ❑ ❑ ❑ (Specify) ❑ ❑ ❑ (Specify) ❑ ❑ ❑ SPECIAL HAZARD SYSTEMS (Specify) ❑ ❑ ❑ (Specify) ❑ ❑ ❑ (Specify) ❑ ❑ ❑ Special Procedures: Comments: SUPERVISING STATION MONITORING Yes No Time Comments Alarm Signal ® ❑ 11:06 TO 12:30 Alarm Restoration ® ❑ 11:06 TO 12:30 Trouble Signal ® ❑ 11:06 TO 12:30 Trouble Signal Restoration ® ❑ 11:06 TO 12:30 Supervisory Signal ® ❑ 11:06 TO 12:30 Supervisory Restoration ® ❑ 11:06 TO 12:30 NOTIFICATIONS THAT TESTING IS Yes No Who Time COMPLETE Building Management ❑ Monitoring Agency ® ❑ USA CENTRAL 12:30PM Building Occupants ® ❑ NONE Other(Specify) ® ❑ 60 CONTROL/RB POLICE 12:33PM The following did not operate correctly: System restored to normal operation: Date: 2-24-24 Time: 12:30PM NFPA 72, Figure 10.6.2.3(p. 5 of 6) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS Name of Inspector: JOHN BERARDI U❑tc: 2-34-24 1 inu: i z 35 Prd� Signature: Name of Owner or Representative: Date I imc: Signature: NFPA 72, Figure 10.6.2.3(p.6 of 6) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS Name of Inspector- J HN BE RDI Date: 2-24-24 Time: 12:35 PM Signature: Name of ner or Representative: Date: Time: Signature: NFPA 72, Figure 10.6.2.3(p.6 of 6) Copyright®2009 National Fire Protection Assoccation.This form may be copied for individual use other than for resale It may not be copied for commercial sale or distribution. RYE BROOK SECURITY, INC. 4 JENNIFER LANE Phone: (914)934-7700 RYE BROOK,NY 10573 CRAWFORD PARK MANSION 2-24-24 LOCATION DEVICE CONDITION 1 BASEMENT SMOKE TESTED OK 2 BASEMENT SMOKE TESTED OK 3 BASEMENT SMOKE TESTED OK 4 BASEMENT SMOKE TESTED OK 5 BASEMENT SMOKE TESTED OK 6 BASEMENT SMOKE TESTED OK 7 BASEMENT SMOKE TESTED OK 8 BASEMENT SMOKE TESTED OK 9 SPRINKLER ROOM SMOKE TESTED OK 101 ST FLOOR REAR STAIR SMOKE TESTED OK 11 OFFICE SMOKE TESTED OK 12 JANITORS CLOSET SMOKE TESTED OK 13 BASEMENT STAIR SMOKE TESTED OK 141 ST FLOOR WOMANS BATHROOM SMOKE TESTED OK 151 ST FLOOR ELEVATOR LOBBY SMOKE TESTED OK 16 LOBBY SMOKE TESTED OK 17 MAIN HALL SMOKE TESTED OK 18 MAIN HALL SMOKE TESTED OK 19 MAIN HALL SMOKE TESTED OK 20 COATROOM SMOKE TESTED OK 211 ST FLOOR MENS ROOM SMOKE TESTED OK 221 STF FLOOR CLOSET SMOKE TESTED OK 23 SOLATIUM SMOKE TESTED OK 24 PUBLIC MEETING ROOM SMOKE TESTED OK 25 2ND FLOROR STAIR SMOKE TESTED OK 26 SERVER ROOM SMOKE TESTED OK 27 2ND FLOOR OFFICE SMOKE TESTED OK 28 VIDEO ROOM SMOKE TESTED OK 29 MEETING ROOM SMOKE TESTED OK 30 2ND FLOOR FAMILY BATH ROOM SMOKE TESTED OK 31 LOUNGE SMOKE TESTED OK 32 2ND FLOOR FAMILY BATH ROOM SMOKE TESTED OK 33 ACTIVITY ROOM SMOKE TESTED OK 34 2ND FLOOR CLOSET SMOKE TESTED OK 35 2ND FLOOR CLOSET SMOKE TESTED OK 36 ART ROOM SMOKE TESTED OK 37 ART ROOM CLOSET SMOKE TESTED OK 38 2ND FLOOR HALL SMOKE TESTED OK 39 2ND FLOOR HALL SMOKE TESTED OK 40 2ND FLOOR ELEVATOR LOBBY SMOKE TESTED OK 41 ELEVATOR SHAFT SMOKE NOT TESTED 42 CLOSET UNDER BASEMENT STAIR SMOKE TESTED OK 51BOILER ROOM HEAT TESTED OK 52CRAWL SPACE HEAT TESTED OK 53CRAWL SPACE HEAT TESTED OK 54 CRAWL SPACE HEAT TESTED OK 55 KITCHEN HEAT TESTED OK 56 KITCHEN HEAT TESTED OK 57 KITCHEN HEAT TESTED OK 58 2ND FLOOR ELEVATOR LOBBY HEAT TESTED OK 59 ATTIC HEAT TESTED OK 60 ATTIC HEAT TESTED OK 61 ATTIC HEAT TESTED OK 28ELEVATOR PRIMARY RELAY NOT TESTED 29 ELEVATOR SECONDARY RELAY NOT TESTED 30 ELEVATOR SHUNT RELAY NOT TESTED 31 BASEMENT HVAC SHUT DOWN RELAY TESTED OK 32 HVAC RESET RELAY TESTED OK 33 ELEVATOR SHUNT BREAKER TRIP RELAY NOT TESTED 35 ATTIC HVAC SHUT DOWN RELAY TESTED OK I BASEMENT PULL STATION TESTED OK 2 BASEMENT PULL STATION TESTED OK 3 SIDE ENTRY PULL STATION TESTED OK 4 KITCHEN DOOR PULL STATION TESTED OK 5 LOBBY PULL STATION TESTED OK 6 MAIN HALL PULL STATION TESTED OK 7 MAIN HALL PULL STATION TESTED OK 8 MAIN HALL PULL STATION TESTED OK 9 SOLARIUM PULL STATION TESTED OK 10 2ND FLOOR ELEVATOR LOBBY PULL STATION TESTED OK 11 KITCHEN ENTRY HEAT TESTED OK 12 MAIN ENTRY HEAT TESTED OK 13 FRONT ENTRY HEAT TESTED OK 14 PATIO HEAT TESTED OK 15 REAR ENTRY HEAT TESTED OK 16 BOILER ROOM CARBON MONOXIDE TESTED OK 17 KITCHEN CARBON MONOXIDE TESTED OK 18 2ND FLOOR LOBBY CARBON MONOXIDE TESTED OK 19 ANSUL SYSTEM NOT TESTED 20 SPRINKLER MAIN SHUT OFF NOT TESTED 21 SPRINKLER AUX SHUT OFF NOT TESTED 22 SPRINKLER WET FLOW NOT TESTED 23 SPRINKLER AUX SHUT OFF NOT TESTED 23 SPRINKLER WET SHUT OFF NOT TESTED 25 SPRINKLER DRY SHUT OFF NOT TESTED 26 SPINKLER WATER PRESSURE FLOW NOT TESTED 27 SPRINKLER AIR PRESSURE NOT TESTED BOILER ROOM HORN STROBE TESTED OK BASEMENT HORN STROBE TESTED OK BASEMENT HORN STROBE TESTED OK OUTSIDE KITCHEN DOOR HORN STROBE TESTED OK KITCHEN HORN STROBE TESTED OK KITCHEN HORN STROBE TESTED OK OFFICE STROBE TESTED OK MENS BATHROOM STROBE TESTED OK REAR STAIR HORN STROBE TESTED OK LOBBY HORN STROBE TESTED OK MAIN HALL HORN STROBE TESTED OK MAIN HALL HORN STROBE TESTED OK MAIN HALL HORN STROBE TESTED OK COAT CLOSET STROBE TESTED OK WOMANS BATHROOM STROBE TESTED OK SOLARIUM HORN STROBE TESTED OK PUBLIC MEETING ROOM HORN STROBE TESTED OK 2ND FLOOR LOBBY HORN STROBE TESTED OK 2ND FLOOR OFFICE HORN STROBE TESTED OK MEETING ROOM HORN STROBE TESTED OK VIDEO ROOM STROBE TESTED OK w FAMILY BATHROOM STROBE TESTED OK LOUNGE HORN STROBE TESTED OK FAMILY BATHROOM STROBE TESTED OK 2ND FLOOR HALL HORN STROBE TESTED OK ART ROOM CLOSET HORN STROBE TESTED OK ART ROOM HORN STROBE TESTED OK ACTIVITY ROOM HORN STROBE TESTED OK ATTIC HORN STROBE TESTED OK ATTIC HORN STROBE TESTED OK Nicks Electric Service of NY, LLC. Invoice 48 Grand Street Date Invoice# New Rochelle, NY 10801 3/12/2024 2024-0616 P: (914) 723-1133 lori@nickselectric.com Bill To: Job Location. Town of Rye Crawford Park Attn: Victor 122 North Ridge Street 222 Grace Church Street - Suite #302 Rye Brook, NY 10573 Port Chester, NY 10573 Terms P.O. No. - ProjeectfVrFr Tech Due on receipt Kevin MC MG Qty Description Rate Amount Work performed on 2/9/24 - Checked and tested signs and emergency lights -- (25) exit signs -- (4) exit signs/combo -- (2) emergency lights Labor: 264.99 264.99 -Three (3) mechanic hours @ $88.33 per hour West. Cty- Lic. #337 Subtotal $264.99 3% fee applied to all c/c payments 1.5% late fee on all bills over 30 days Sales Tax (8.375%) $0.00 Balance Due $264.99 Keys * Locks • Gates • Safes • kfarms 24 Hour Emasrpricy Service 954 McLean Ave. YONKERS, NY 10704 (P 4) 2 7 6'54 FAX CUSTOMERS ORDER NO PHONE. DATE NAME -- ACORESS CASH COD CHARGE ON ACCT MOSE RET O PAID OUT h�u2N %iz�E? Nc.if 1041 r TAX SOLD BY RECEIVED By TOTAL C PRODUCT 609 All claims and returned goods MUST be accompanied by this bill c]"hank You BUILDING DEPARTMENT D E v EH E VILLAGE OF RYE'BROOK JUL 15 2024 938 KING STREET RYI:BROOK,NY 10573 (91.4)939-0668 VILLAGE OF RYE BROOK www.ryebrook:org BUILDING DEPARTMENT FIRE INSPECTION / OPERATING PERMIT APPLICATION FOR OFFICE USE ONLY: Fee Paid: S _ Inspection Date&Timc: FEE SCHEDULE: Re-inspection Date& Time: Triennial & Private School Annual Inspection: = S450.00 Public Assembly Annual Inspection: <100 People=S525.00/>100 People= S775.00 Application.dated: c-:),. is hereby made to die 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. �l �,," NebrooK, 1. Address: �,I., N R1�,e si(ee� tul1USl3 SBL: Zone: 2. Business/Occupancy Name: ((A1,.&rA 1�6) c -M aasion NYS Use Class: 3. Property Owner: Address:2aaAmceowchS•F• Po(+ChC'SIPfr)y C573 Phone# q1q - q1 q- &553—Ce11 # email: QQe1S()C ,lo�.x�a�°uY C 5. Business Owner: Address: Phone# Ccll # email: 6. Emergency Contact: VIG+Or �(i CO Address: Phone# 96- 830 - 0$11 Ccll # email: I-Fea,ec'►coeTcwoo�c- eul.a)N 7. Inspection Escort: Title: Phone #: Ccll #: cmai I: 8. Provide a brief description outlining the current and 'or intended use of the property: eQ( meeh()aS 9. List all Hazardous Materials: w6f)� , Cleanioq SV FIli 4P eS 10. Occupant Load: Existing: _ 406 Proposed: y06 Other: 11. Date & Disposition of Previous Fire Inspection: Pass ❑ Fail 8/12/2021 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 I COUNTY OF WESTCIIESTER I as: Deborah A. Reisner 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 Town_Administrator 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 arc 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 11th Sworn to before me this day of July , 2024 day of 20 614- Not ublic Notary Public ignaturc of Property Owner Signature of Applicant Deborah A. Reisner Print Name of Property Owner Print Name of Applicant HOPE B. VESPIA Notary Public, State of New York No. OlVE5084028 Qualified in Westchester Cou Commission Expires August 25,20nty 8/12no21