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HomeMy WebLinkAboutBP25-010PERMIT # TYPE OF WOR JOB LOCATION CONTRALTO TCO # FEE DATE INSPECTION REGORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING I NSP INSULATION PLUMBING coo� RGH PLUMBING 3' 3 20 E57 FO PA65AA GAS C1 SPRINKLER ELECTRIC LOW -VOLT C] ALARM 0 AS BUILT Q FINAL s �y X�Qs: 00A fxz #0o� c9/5v)6`f 9-3 3a3 5-o�9/�,f0 J�v/6,F y : ��Q�,n y f IC& 5j, C,/ // V c s /ep i s �e Zvi clz OTHER APPROVALS OTHER VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-063 Certificate of (9ccupaucp This is to certify that w ) 11(� Rpa 1-4-fA 128 V having duly filed an application on I3. 20 )f requesting a Certificate of Occupancy for the premises known as, '91Q((2e C) ]to P1jq-7J!:2-, Rye Brook,NY, located in a Cam/ JP Zoning District and shown on the most current Tax Map as Section: 7 Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No , issued / I//W 20 c25, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: , ^ %U�P-- 8 Construction: for the following purposes: Baffi ) Wm Iyea, �Q//ecru �,�orr r�'s yes m Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has obt ' m the B ding Ins Building Inspector,Village of Rye Brook: Date: MAY 0 9 2025 R D J W DI IBUILDING DEPARTMENT For office use only: PERMIT# 0 APR 2 3 2025 VILLAGE OF RYE BROOK ISSUED: 938 KING STREET,RYE BROOK,NEw YORK 10573 DATE: -/r:�,3 �S VILLAGE OF RYE BROOK (914)_9 -0668 FEE: .¢ G,ti`Q — PAIDAr BUILDING DEPARTMENT www & kby.20V APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION *+#i*i++si tit++###+#s*it+++*+++i*t#ftt+t tf itiiiiti4ii#ittti iiif ifi MtiiiitiiiiiiiiifiitiHf#i++#*#ittti#tititiiii+tftifi*♦ Address: --��(� PIJ tow-mywit; Occupancy/Use:&'f?MZ1U04 Parcel ID#: / '//, Zone: C� Owner: W N FLMk WTI), LAC Address: 2-4' R`06 ILT,I-1i1L P dU P.E./R.A. or Contractor: T � �� (c v-Xddress: 3q6 Sa" A#.I( 91✓&1- to �6A*5 ff- C'J Person in responsible charge: 106-1"�—€( '''<< 4�'(&-��ddress:P- ��'PS y6���S A-Y /G7 04 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law STATE OF NEW YORK,COUNTY OF WESTCHESTER as: L r, '`C (( being duly sworn,deposes and says that he/she resides at U H r 1(Fog (&--7 (Print Name of Applicant) (No.and Street) / in y6b,r.S ,in the County of 1���`--J in the State of N` ,that (city/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 6/ bc�c C b for the construction or alteration of: �Ye P�o,z Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this Z �� Swom to before me this 7� day of AVAIL , 20_Z:�—L day of i}PP.I L , 20 2,5 DkNa err U s 1i 1, Signature of Pr/ rty er haV T- Signature of Applicant Pr' t=OAI% w�� Print N e of Appli t W otary Public Notary Public ALENA HAKAWM Alf NA HAKAN NOTARY PUBLIC.STATE OF NEW CORK NOTARY PUBLIC,STATE OF NEW YORK Reoistratlon No.01HAO013NS Registration No.OIMA0013645 4of 0814 C Es Red In Westchester Court Qualified in Westchester County Illy Commission Expires 9/1912027 �yE 4R(b, uJ � F o 19£32• BUILDING DEPARTMENT ❑BB LDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.or� - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : ��L-, 1 S DATE: l S� PERMIT# ISSUED: ' '23SECT:,& Z 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 ❑ L.P. GAS ❑ FUEL TANK U�- /JJ• ❑ FIRE SPRINKLER css. �t FINAL PLUMBING ❑ CROSS CONNECTION ` 1 n FINAL 1 7 ri l ❑ OTHER �yE BRC�uk o`` tim 19 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ISSUED: SECT: HZ Z 7 BLOCK: LOT: i LOCATION: ��� , OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED 9 REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION B FINAL ❑ OTHER �E BRC�uk. cu � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR }Jy'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.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 0 a `� N Ln � H •o � i � raw x a z cn V a Cn 2 w a a. 0 �i 8' 71 a o V N o � z � M � � a CA Ln V z W 44 �'' z Z O w C w M� V C O . FBI Om 00 00 lu 1--I ►r �i C w a O ~ V W O v z It Z z C7 F" W W 0 � .� � A °. A W Z o � ' 00 �ilW O U W a`�G � a. � � � - � � W W ►'� x � � �� b BUILD MENT 1�J VI L E OF RY OOK DD 938 KING ET RYE BR ,NY 10573 DEC 00 2024 1.4)93 -0 ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ON Y: Approval Date: 1 Pern ' �� Application Fee:$ 1 6 Approval Signature: Permit Fees:$ 1 Disapproved: Other: Application dated: t Z 3e is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance ofa Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement de bed below. Ia pp +� �S P(A Cec�m7 I+tneA 1. Job Address: Q h� Ituut SBL f'7�t 7—/—& Zone: 2. Proposed Improvement.(Describe in detail):Remodel existing female bathroom.New Tile, Paint, New stalls Like for Like Replacement of Fixtures. Instead of 4 stalls there will be 3, and one of these will be ADA. Enlarge bathroom entrance door to make Move toilet flange slightly if necessary to make stall ADA. 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: X Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSI.System, FM-200 System,Type I Hood,etc...) :No:X Yes: (If yes, please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: Retail After Construction: Retail 6. N.Y State Construction Classification: ,� N.Y.State UseClaClassification:7. Property Owner: WW tp� FAH y JUL Address: � Pic R ,, (XA ZA Phone# 4K-- -{ -KA7 Cell# email: Aq-A fJ3t*VyTr4ft -,''iyV\ 8. Applicant: Dectech Mechanical Corp. Address: 340 Saw Mill River Road,Yonkers NY 10701 Phone 0 9143493323 Cell#9143163209 email: DECTEECHNY@GMAIL.COM�� ��11 9. Architect:Jf1hLOf- Address:S N ��7 �u`�l f 1Atil�S INl Phone# (i 1,V) '001A Cell# email:JTP— TNUXWz1kA(ECK, Wr' ' 10. Engineer: Address: Phone# Cell# email: 11. General Contractor:Dectech Mechanical Corp. Address: 340 Saw Mill River Road, Yonkers NY 10701 Phone#9143493323 Cell#9143163209 email: DECTECHNY@GMAIL.COM 12. Estimated cost of construction $ 46,000.00 (NOTE:The estimated cost shall include all lalwr,material,scaffolding,fixed equipment professional fees,and material acid labor which mat be donated gratis.) 13. Job Timetable: Start: 1/6/2025 Finish: 2/10/2025 (I} 6/1/2024 BUILD MENT VIL OF Ry OOK 938 KING ET RYE BR ,NY>10573 DEC 3 0 2024 � � 9 -c w ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: I, �` t1 f r , residing at, 29" R`lIi; (Print name) (Address where you lime) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Siena C4 :- �J" (Print Lame of Property U» . Sworn to before me this U�4 \ day of Q . 20 c'-_�L 'I )CIF ORUNELLI NOTARY Pk I IC,STATE OF NEW YORK (N ry P��hr�) Regisr_'(ion ha. O1BR6I46106 Qualified in v:` TCH1wZ CQUNTY Coanty COmn,.iss;on Expires MAY 15,2026 (2) 6/1l2024 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn, deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the CL)NW-ACTNL _ for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in accordance with the New York State Uniform Fire Prevention & Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 3 lo Sworn to before me this dav of DEfYI , 20 day of DBLJE�n 20 Signature of Property Signature of Applicant MAIA--4kgalj 0fWt t_L Mlc E LI M-Troro Print Name of Property(Omer �__NT Print Name of Applicant Notary Public Notary Public SUSIE BRUNELLI SUSIE BRUNELLI EQualifiedinWESTCHESTERCOUNTY PUBLIC,STATE OF NEW YORK :�rARY PUBLIC,STATE OF NEW PORK stration No.01B County Registration No. 01 BR6146106 tlalified in WESTCHESTER COUNTY County ission Expires MAY 15,292f? Commission Expires MAY 15, 2026 (4) 6/l/2024 �t � M � t-y = N N N N ^a = •' a N N � � _' N N V 0 •-• .r Q� OG V W w V x H W a � V r v W chi) k Z O > M z o z � N z z W ? N Mao w o V) W 00 CAZ 9 a Or- a �a _ Lg e o w .. V a 3 o z7 Z � U U U a W �" O z 0 z R og _ V O W z Ci F Q ° C7 Q a v� " z w Z U z aA .a _ 3uIL :ri>±;r� i\n4I?,N i JAN 2 1 2025 VIL 'Ill )OTC 938 KINGS tt?i! 'Ivr?.13 ` g� NY 10573 VILLAGE OF RYE BROOK :.;:.:. }4 39'0 _ BUILDING DEPARTMENT f i , ��' vav;f(Jd'-)I io 11 gov LLE,CTRICAL PEI21 Irr APPLICATION WCStclte3tel'County Mastel'Electricians License Required FOR OFFICK USE,ONLY 1'tk J U U Irl'11: ol -q JAN 2 2 �S-_ Approval Date: Permit fee:$ / Approval Signature: IfAOther: DO NOTSTART WORK or CONSTRUCTION UN'l 1'Llil•1IT]IAS BEEN ISSUED BY TIIE'BUILDING]INSPECTOR. 'fHt+',AD1111Ni5'1'IL1'1'I\'1;hBIr.1rOR 1YORK 1'120GIttiSSl.l)OIt CO�IPId�;I'I;D\1'1'fllOtl'1'A 1'i;R�II'f IS 12"/ OF'1'ilh "OTAL COST'<)1 CONS'fRUC'1'!ON 11'1'I'll A 1111NI ill tlilt FEE.0 F S750.00 Applicalion(late(I, s hereby ttta(Ie to the Building Inspeclor of the Village of Rye Brook NY,for(lie Issoancc of a Permit to install au( or re love electrical egtlipmenl,wiring, fixtures,or to perform outer high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that ail electrical work performed will be ill conformance will)all applicable Federal,Stale,County and Local ` (" 2 5-u l U L)t;,y,Gti�. 1 i 1.Address:1-9 P�e f�.rdge PIe e. ^ warn r (krej" -114 ILIA S13L: 14 'Lone: 2.Property Owncr: m R�e n<- �(� 1�i l.L( Address:_Zt—p�}.c-1?�drl o a Phonell:�it�I�SZ1�po.S Cellth email: .11a-y,�n�ri)-6 t• 1r rv� 3.Master[ilectricitm/Liccnscdlnstaller: ¢ Co .1�,nQnr, Address:M fJe,r,2,(I,rlfelvl_Ior"o) Lie,//: 33'l 11hom11: (11LA- 12yp-. ll3 Ie111h email:n\ck-.,(-It!({r;(c�J,;eyv.0 (.�wd Ipr,K•(6n, Company Nanto:(J r\\(,c L-5 c lN_Lt(, Address: N 4.Proposed Electrical Work/Fixlttre Collin: - To 4ca1l 16 r�ev� ill ha�5 115��1\ \Ac,06 clever 5.3rd I'arl Eleet ical Ins section A enc Y 1 g ) �.�(�,(is��A:t��:,�i:x:t,r�x*r,ti:x,ti,x,�tr,(i:**t��i:*t.*,r,��**�****�**�,t*,��n,t*k*,t**,t**�*��,t�:t,tr•�,:*;:�.a�•xxxx*t�:r*x,ti:,;axtr�,r,t,r,v STATE OF NEW YORK,COUNTY OF WESTCHESTER C05 Lh',((ko'o G ,being duly sworn,(Icposes nod stales Ihat he/she is the npplicma nbove named,nn(I does liuther (print name orindividual signing as the applicmiQ stole that(s)he is tilt for the Icgnl owner and is duly nwhorizcd to make and file this application. (\taster P.Icelrician/Licensed Installer) 'file uadcrsigiled fmthcrstates th,1 all statements contained herein fire talc to the best ofhis/herknowledgc mid belief,and that any work performed,or use conducted it the above captioned properly will be in conforntmtce with the delails as set forth and contained in this applicntion and in nay nccompanyiug approved plops find specifications,as\vell ns in nccordrince with file New York Stale Uniform Fire Prevention&Building Code,the Code of the Village of Ityc Brook and nil olhcr applicable laws,ordinances,and rcgulnlions. 21sfi >a Sworn to before me Ibis Stvorn l bcforc ntc this Z (la of .�'t'1►.)V 20_25 (lay of J •n (G r- 1'lv - Si1gnatu�reo�f Properly fOtatter �>vi 1 ill tplical C GS Gno Print Nan Prop, IlyO« mrR Print Name ofApplicaut � C!tfl N , y j) lie ICHARDA.YARMY MCCO YNOTARY PUBLIC,STATE OF NEW YORK STATE OF NEW YORKRegistration No.OIYA0013323 x CountyQualified in Westchester County 1 MC6348554Commission Expires September 08,2027d L 2) , STATE WIDE INSPECTION SERVICES, I NC. CA— Sei-vice 11'ilh bilt-gi-itl, 21 • . Main Street, Suite 203, Fishkill, NY 12524 SWIS JOB APPLICATION0. Office Use Elect.Permit# �\� -q Date 1/21/2025 Bldg Permit# /Q Sq Ft Temp# Utility ID# Final Certificate# City/Village Rye Brook Zip 10573 Township Rye Brook County Westchester Address 19 Rye Ridge Plaza Cross Street Section Block Lot Owner Name/Address(if different than above) Win Ridge Realty LLC Contact Number (914)701-4005 Basement 1st Fl. 2nd Fl. 3rd Fl. More Than 3 Fl. Garage ❑Attic Outside Residential Q Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect Underground ❑New Reconnect ❑Overhead ❑Change Visual Re-Inspection Safety Re-Inspection ❑ Re-Inspection Additional Information Install 10 new hi hats Install hand dryer D �� � ��� JAN 2 1 2025 VILLAGE OF RYE BROOK T BUILDING DEPARTMENT This application is valid for one(1)yearfrom the date received by SWIS.This application is Intended to cover the above listed items to be Inspected,if at any time of Inspection additional Items have been installedyou are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Contractor Nicks Electric Service of NY, LLC. Date 1/21/25 signature Address 48 Grand Street City/state New Rochelle, zip Code 10801 License# 337 ID# Phone# (914)723-1133 L State Wide Inspection Services 1080 Main Street APR 2 3 2025 Fishkill, NY 12524 LL 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office(a)swisny.com ` Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Nicks Electrical Service of NY, LLC Win Ridge Realty LLC Anthony Coschigano 19 Rye Ridge Plaza 48 Grand Street Rye Brook, NY 10573 New Rochelle, NY 10801 Located at: 19 Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-014 141.27 1 6 Certificate Number: 2025-2623 Building Permit Number: BP25-010 A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 19 Rye Ridge Plaza, Rye Brook, NY 10573 The First Floor Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 23`d Day of April 2025. Name Quantity Rating Circuit Type Luminaires 10 Hand Dryer 01 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. _ s C+ N N oG a 0 H 00 i #t w a o O ° f. J i wI �•-� C � z z o w � F, ' F' � O z o wz w otiw z j z V w s aiLn = � (= H a 0 f A A U 0.0 - 00 ■ °O ) W 0en 00 1;' t w c z z F Ln !J H o M V � R.+ p., � �a eC ►� w c� I• i I W 0.1 F+N I .� on 1 ■ i i s tl f i� tt s � i e z z : :� s i, i f t 4I4r4A446404N44144 4to44 tfi-4444 4444444444444444040444 E4RC� D E `CENE BUILDINGr YSEPARTMENT JAN 14 2025 VILLAGE OF RYE BROOK 938 KING 9I'kF_ET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914) -0668 BUILDING DEPARTMENT www.ryebrookny.gov PLUMBINGG PERMIT APPLICATION FOR OFFICE USE ONLY BP#: O' G PP#: OO / Approval Date: \ O Permit Fee: $ �VO,6 Approval Signature: Disapproved: (fees are non-refundable) ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%\\OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all. plicable Federal, State,County and Local Codes. Q C t NV1�Y'Ly. 1�� 1.Address: 1 ���`. 'ti k LAbAl�'J11 SBL: H1 i c�7 Zone: 2.Proposed Work: 3.Property Owner: y Address: Phone#: J I4_W 1- 4005" Cell#: email: 4.Master Plumber: �e 13 Address: i(ri t Z A _ , Lic.#: Phone#: /�/ g �Y3� Cell#: 7 M S' ' �6 4),email —%G to /41 Company Name: ���T� � � �: 1 j�,, ,',Address: Y9 q 5.4%) t7•-'i t" 12) ko•7 iU,Rt 1`'Y 10Z�,j INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor 3`d Floor 4'Floor 5te Floor Exterior 5. List Other Equipment/Provide Details: — l R9,�L.1 S to(,1-711.) .:11 �*:L l cJ rl (Notarized Signatures Required Next 2 Pages) -1- 6/l/2024 BUILDIaRYER VIENT D VIL E OK 938 KnvcTR ET ,NY 10573BAN 14 2025 (914 VILLAGE OF RYE BROOK wrrwv BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 3J, CI QV 6111 S 4 ,residing at, ?_ t (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Pb6e P UW , Rye Brook, NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. azure of Prop y ciwrmrtr)) AID f_W-2L60_ (Print Name of Property 4rrrtCTpS1 Sworn to before me this da of-im '`, z0 1� ( otary Public) AIENA HAKANJIN NOTARY PUBLIC $7ATE OF NEW YORK Raviftration No.01HA001�6�5yy f in Etpir$911912021 -3- 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Master Plumber for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. 2T� Sworn to before me this 'J Sworn to before me this day of (1 ,20 day of; &d L7 20 :7 tgnature of Pr perty Orr ner N ►�r Signature of Applicant Pri Name of Pr perty OviaerkqW Print Name of Applicant l tary P lic ALENA NAKANJIN ITHOMAS FAVATA NOTARY KISI>C,STATE Of NEW YM Notary Public,State of Ne�v York Registration No.O1HA001364S No.Ot FA61279?� NY Cow to INestchnter Courr��tt��rr Qualified in Westchester Goun MI►C°"r"fssl°"Ea IN1td M Commi."ion F:cnires May 30,20�1 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 6/1/2024 Building Permit Check List&Zoning Analysis Address: \ SBLC3- Zone: t. ' Use:_ f7V-�) Const.Type: Other. Submittal Date: Revisions S mittal Dates: a b Applicant: V Nature of Work \ ` �l C o S 1 Reviews:ZBA: a'� PB: BOT: Other. �OeQK B t , ( (` FEES:Filing: P:_ t C/O: Flood Plane: Legalization: O ( �,APP: Dated -Notarized. — SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long.—Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current Archival• Sealed Unacceptable: ( ) ( S:Date Stamped ✓ Sealed vEopies?7- Electronic Other. ( ( License: Workers Comp: Liability Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated N/A: (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery._Other. ( ( ) PLUMBING:Plans: Permit: Nan Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval;- notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Area: Circle: Frontgge: Front: Front: Sides: Rear. Main Cov: Accs.Cov: Ft.H Sb: Sd.H Sb: GFA: Tot : Ft.Imp: Paz�� Height/Stories: notes: ® DATE(MWDD/YYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 12/9/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Shaya Retell _ GNP Brokerage US Inc an ISU Network Member PHONE FAX GNP BROKERAGE US INC (A/C,No,Ext): 7183055321 (A/C,NoI. E-MAIL eCg 2001 57TH STREET aooREsr servic npbrokeY__Com --_ BROOKLYN NY 11204 INSURERIS)AFFORDING COVERAGE NAIC8 L,cense# 104591.1 INSURER A SHELTERPOINT LIFE INS CO 81434 INSURED 1t INSURER B STATE INSURANCE FUND 523930 DecTech Mechanical Corp w 2293 2nd Ave INSURER C:Accelerant Specialty Insuran New York NY 10035 WSUNIM0___ ---- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1097867711 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR PLICY TYPE OF WSIIRANCE ADDL SUER NUMBER MM DDYE EXP LTR YYY MFF M OD'YYYY LIMITS CF- %C-06AMERCI1LG*NMALLIABILITY Y S0072GLOD104-00 11,213,2024 11'26,2025 EACH OCCURRENCE 61.000.000 DAMAZ3E T SRENTED�— CLAIMS-MADE L OCCUR PREMISES lEs occunena) S 100,000 _ MED EXP( one person) $5.000 _ PERSONAL&ADVINJURY 61,D00,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 2,000,000 ._. POLICY X_.JEC LOC PRODUCTS-COMPIOPAGG f2.000.000- OTHER - -- `$ _ AUTOMOBILE LIABILITY COMBINED SINGLE OMIT i (Ea aeeMentl e ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident)iaccident)_ -- HIRED NON-OWNED PROPERTY DAMAGE - AUTOS ONLY AUTOS ONLY I tiler accident) S C X UMBRELLA LIAR X OCCUR Y S0072XS00048-00 11/27/2024 11/26/2025 EACHOCCURRENCE $5000_000 EXCESS LIAB __ CLAIMS•MADE .AGGREGATE s5000,000 F •DEC) RETENTION S S B WORKERS COMPENSATION M 2605 195-3 6/2/2024 6/2l2025 X H AND EMPLOYERS'LIABILITY A ER IANYPROPRIETOR/PA RTNER!EAEC UTNE YIN E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? ❑ NIA - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1.000,000 If es desmbe under DESCRIPTION OF OPERATIONS below _ El DISEASE-POLICY LIMIT S 1,000,000 Disabrkty 0641246 6%2/2024 6/22025 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder and their officers.directors,employees,subsidiaries.partners.and affiliates are added as additional Insured on a primary and non- contributory basis for ongoing and completed operations as per written contract Policy includes an endorsement for Waiver of Subrogation Action over coverage is included. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King St AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699.Albany.NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE R1 o ^^^^^^ 853671400 GNP BROKERAGE 2001 57TH ST a BROOKLYN NY 11204 s SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER DECTECH MECHANICAL CORP VILLAGE OF RYE BROOK 2293 2ND AVE 938 KING ST NEW YORK NY 10035 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE M2605195-3 347342 06/02/2024 TO 06/02/2025 11,4'2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2605195-3. COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK. EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY, IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT DANIEL MCELHATTON DECTECH MECHANICAL CORP (ONE PERSON CORP, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND. 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