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Home My WebLink AboutDP25-006PERMIT P 1, t SEcn•N _,.14 TYPE OF WORK JAB LOCATION r EST. V/CO P TCO � BLOCK LOT1s Uri 7 Ivilflc1c,e STY"ela 4 �Je4e` / t`,QNl7CDj��/r7� lee a / FEE 4 j oCD -" p% v'ILEA .. Ll FEE �jj LLLL FEE DATE, FOOTING FOUNDATION - FRAMING C/J RGH FRAMING / , " �,, /4y INSULATION / ,DQ /�®lec �ic��Gi�Ps�/��7'7 PLUMBING [32 �g GAS PLUMBING - 7/4eC.7Yl Cam-' SPRINKLER ELECT RIC OTHER APPROVALS ARB LOW -VOLT � - ---•�— ALARM AS BUILT (3 r p ((' �y f FINAL -- J• C I1 T"�" 15 BR. 19 c, VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury .«vw.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE August 25,2025 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 204 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-36 Demolition Permit#25-006 issued on 7/7/2025 to Demolish Commercial Tenant Space This certifies that the commercial tenant space,demolished under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to 4R� �' 190 �•,�-a VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury ..-ww.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E. Fews David M. Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE August 25,2025 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 204 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-36 This document certifies that the work done under Mechanical Permit #25-129 issued on 8/19/2025 for the removal of ductwork has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to R For office use only: / BUILD MENT PERMIT# OUb 1 VIL> OF RYE OK ISSUED: AUG — 6 2025 038 KING STRE YE BROOK, i V YORK 10573 DATE: — —�5— ___ 9 -0 0 FEE:,�24Q:7C)-- PAIDJt VILLAGE OF RYE BROOK BU!L D1N07, nFo4RTn-1FN!T 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 +swsssstswsrwsrrtrwsrwsns»•s*+*+rrsssssswww»s»»rsssrrsssrssrssts+sstsrstssr►ssstrrs»r»srrrsrrwssrsswsr*w»»s*rrsswrssssrtstrwwr Address: Occupancy/Use: Parcel ID#: /'y/i �- — <c:', Zone: Owner: MNP�I�(�C �I��lotLry , l '�'X Address: �" V�TE K�t� PuERA P.E./R.A. or Contractor:D--a-tt, /'t e<A&-,,&.� Cyr Address: 3�y -con-.- ^u I a e,-Ver IZaf ` -4 Person in responsible charge: D*"'W ^c to fF1J^ Address: 97- Ni/14 P A crr S `Ja.J &,a r 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:JUL 'I being duly sworn,deposes and says that he/she resides at (Print,Uame of Applicant) (No.and Street) in C144 ,in the County of �Ie5kL4//GS A-, in the State of N Y ,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 3 i S . U D for the construction or/[alteration of. Ml 6 e PV'S Fr, S'JOM CC- �g01A S.I. 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§250-10.A.of the Code of the Village of Rye Brook. Sworn to b fore me this Sworn to before me this day u I UU S- , 20_!�5_ day of J� , 20 1-5 igna of Prope t% + Signature of Applicant A �ArV�l� �1Sh �.�'�►`��, �C. M c, C/4/k^'a`zs rJ Print N e pe Print Name of Applic r No Public �ry Public AIEMA MATTE OF NOTARY MJKIC.STATE OF WW PORK M01�S Repis OwINod In Westchester Cow ,n BUILDING MAJARTMENT ❑MIIl,1►I N(. IN%PI( I M (Ff\Nti1N1AN1 14111 MNG IN�01I, Itwlt VII..I.AGI'. 01: RYL BROOK ❑1 twill EN1411tt I .NII NI (Ill It lit 938 DING S'I 10.1-1 - 141: BIt(llll\• NY 1057.1 (41,1) 939-0668 VAX (()[,1) 939-5801 ��w w.r�'r I�t•/1.n k,1/r}; INSPECTION KL'Powr - - - - -- - - - - - - - - - - :\1►1>It11h : Zoz/ SOU44 P,4 J - -- DAIL•: I►I:ItM111'1'-71s` 2 H/ r2" I,IH AVI(►N: OCCUI'ANC1': ❑ VIOLATION N(YI'lill 1 111. %vol K is... I(1:INti1►F.C'PION ❑ SFI1 1NNPIII"1'ION Itl:l2U1Klil) ❑ hmI I\(, ❑ I'()IlII 1)RA1N At.I ❑ ('l11 Nl►1li1►N ❑ UNDIA(Glt(►uNl► I'I I NIcl\,, 1i(YI'I .ti ON INSPECTION: ❑ Rout.1111I.11NIIIIN(. ❑ ROUtill FRAMING ❑ INSULATION ❑ I til.I 'I'�NI. - — --- Lo�✓,P t _ _ 'OZTJdJ U* ❑ 1'IttI.. S1,1ZINk1.1 It ❑ I'IN:1L. 1►I I NmI\1, I❑ CH0.1,% ('1)1\iI 'II(1N _ ❑ 1'INAI. 4 9 W L� BUILDING DEPARTMENT ❑�/It1�111.1►I N<. INtiPI t I ulc I!l�1�til�la�l Bulinlvt. jv'mclult VII,I.;1('I OI; RY1; Blmoh [I( 0M. LNIOM I %I1 KI ()I I It.lit 9.18 1\IN(. SI IZ1 I I R� 1, Rltl)ul:, NY 1057.1 (4)1,1) y;y u(,()ti i ,%x (914) 939_5801 %%�%%%.I*ychr(►uk.(►rg - INSPIFI ;TION REPORTT - -- - _ _ - - - - - - - - - - - - - - I►I'ttal l �P 2s ' no(o I ,_.I . I• 7-7-23 sl.( I: f 41•3s I;I.(►t L: Z I t„ : ��... (,(N.A FION: L oo.,3-Pig Le Le L OCCUPANCY: ❑ VIOLATION No I I I) RIANSPECTION ❑ I�lu)'rl�t. U FOOTING IN %INA4.1 El FOUNDATION ❑ t1N1)1•:RGIt01-\1► I'I1 .\11,.1\t. 'yO'I'1•.S0NINS1)1: "I'I( >V ❑ ROU41.11 III t .NIBIN(. ❑ IWINJI 1"I4AIN11M. ❑ INSULATION ❑ NA•1'URAI.GA% L� 02� toxv)to � p. LR GAS Q Fu11 I \\i, -- - SSu—t, _ r ❑ 1'IIZ1 tirlll\l:l I-it eFINA1. �QyE aRc�j� o � BUILDING DEPARTMENT ❑111TUDING INSI-143-olt 0 ASSIs'r.A.x+rl'RVIIJOING INSPECTOR v:11:.LAGE nN RYE BROOK ❑Com 1?NIm►It(:JimuN'I'011mclix. 938 King Sixect•Ryc Brook,NY 1.0573 (9111) 939-066813&.x.(914.)939-5801 www.xT hlm okm _ _ .- INSPECTION REPORT - .- _ -. .- _ _ _ _ _ _ - - A __- ZQ Z 11I;ItMI7' �- Q_0 1SSUI?I):, 7�7'"c✓.�EC'I.':��f�•3Y�BLOCK: Zi TOT: .3c oCCUPANCY:_ ❑ Violation Noted `nll:WORK IS TAILED /REINSPT CTION ❑ SITE TN-SIMC7'ION REQUIRED ❑ FOOTING ❑ FoOTING 1)RAINAGId ❑ FOUNDA'.CION ❑ LTrmItRGu.OI.TVD PLUMBING N0'.f I S ON T.NSPEMON: ❑ ROUGH PX XTMBING ❑ ROUGH FKAMING ❑ NtiuimiON ❑ 1.,.1t Gas ❑ UUFI,'.l WK— s 6J oS f- VL 1�I �M� S �R ✓` ❑ Film SPRINICI, dlt. �QGsI �f�Irt�y e w� S ,Q"FII+TAI,PLUMNING ❑ CROSS CONN[{C'.l.'ION' ❑ 1982• BUILDING DEPARTMENT OSWAM Jam,INSPI(crolt BUMANG IMP)W'VOR VILLAGE or .RYE BROOK 0 CODA ENIVORCEMEM,()FFl 938 Kim Slj-(.et. Rye'1,;r Ook,.Ny 9 10573 (91.4) 939-0668 11&. N!(914)939-5801 www,ryphrq-9-kAn - - - - - - - ---- - - - --- - - -- - INSPECTION REPORT - - - -. - .- - -. - .- - - - - - - - - - - -0--q ZaL4_Ti L, (p Mrti: - E CT: /4//- ....... BLOCK.---Z- LOT: .3(4o LOCATION: OCCUPANCY: 11 Violation NoW Ull,WORK is... 0 PASSED Q� FAILED REINSPECTION 0 SITE INSPECTION REQUIRED 0 FOOTING 0 FoOTINGI)RAINA(g.1, 0 FOUNDATI.Ow 0 UNDERGRO-WYND P)fUMIIX.N(, K)'.1"lINO 0 ROUGH PEUMBING N INSPE MON: 0 ROUGH FRAMING 11 INSULATION 0 Natund Gas — fjo 0 1.1t Gas O FIRE SvwN.k-.jr,.EiR 0 FINAJ,PLUMBING 0 0 ('ROSS CONNT,41-VION 0 ❑ FINA.I, ---.LJA c ■ s a� s Ln N O W � m N N x w y ■ (ra Q a d y _ 44 W ■ ■ A a xv O H.. .. 4 p U W Chti CA z un o •� ,� �� v f� W w O �T1 ✓� o ° To all (� °0 r o 3 � a•- H o o .. a M M C O � z c i ■ I�1 . �--t W `� �. M N ti. W C •.�, C�l� a �vco 0 w y w E V O-k PLO F�•I O ' O ._ O W § } o 14 , PM > A o o s � � � W Cl 0 w W a" CW7 U e 8 Z z n 14 o u H w a, ■ pi EF? G Z' c. oa04 &w U V U 1* o 0 E 9 v im F. O"`� Q I--� a O z �" W' W � O ?� .� '�••� o ,� C4 cn C7 F � '� •" u a a BUILDING DEPARTMENT E C E��E VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 1057 f UN 16 2025 (914)939µ0668 VILLAGE OF RYE BROOK wwwxyebrookny.jov BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION FOR OFFICE USE ONLY: �+ Q f Approval Date: ju c 1 N Pe / J�6/'Application Fee: $ Approval Signature: Permit Fees: S Asp._ lJ Disapproved: Other: Application dated: (49 ( is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of anexistirig building,or for a change in use,as per detailed statement describeedd below. 1. Job Address: 2c+ S' PE-D6C 5T—EE7— SBL: 4'3 Zone: 2. Proposed Demolition.(Describe in detail): ?19M rkie r t �h� 0✓3 fG�ah{ �i�'fvIt.S ��`fti2 ! �0Vp erlS'n Pad416A LO� 140047S . 4"OVe efrof Ce,* �eJe ��o r U Cc��ert� � vk/�F� � �! � .c� PH� +" A T�Pgo•F GC.Sa 1, 3. Property nnOwner: WA KCK" Address: Z_4� �_e`�� h�4 Phone#_I 1� I �� Cell# email: ��1['1r tR z 1 Vs!<'�h+c�`,t✓+�`� Applicant:T)ANS6C' MC Address: P W N bP A,r&5 Yan P-r /a40 SF Phone# '114 3 4g 33a 3 Cell# 1(43/63 a'g email: ceA��. �'a cG/Mfa��L�/lI+/ •�o.^� ArchitectfEngineer: Address: Phone# Cell# email:General Contractor:DeG}eZ� Aezkfcj Cv,09 Address: 3q-0 Saw f"'1( 4'Vef ,,//Qal. lop^�t6OW� Phone# qN 349530 Cell# 9N W 5 33�,3 email: cl eC,+&0,k^y fg1�+kar j•� 4. Estimated cost of construction S �' 5. 00 (NOTE:The estimated cost shall include all labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 5. Type of construction: (wood frame,masonry,steel,etc...) S� rOC�G- •� (J(30d jrid Ce.1.'n 6. Method(s)of Demolition: -61 Np^ UG� SGG.r F . 7. Number&Location of Fuel Oil Tanks to be Removed: 0 8. Number of Stories: Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: S 1 6/1rzo24 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: )Awyf e f CgItr1"o� ,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 C o4*,'t'rstv_4"v<— for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor.agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this 161-0 Sworn to before me this ! �� r r "� day of ,20 W day of VVN3- 25- _e - i n e of Prope y Ewrrw Signature of Applicant Print re of Proper y Prin Nam �Applica t Notary Public Notary Public AL NA MRAMANI EAINA NAKANJtM NOTARY MC.RATE OF New YORM &C.ITATE OF New YM RMe�btrotlen No.01MA0013645 tion No.OtMA0013645 vim QWlilled in wesch"INIFer in wesishsster Gar�_n_�typ Es f11t1t= 6,1 2024 f cs i N N W .d N � xell W u oz bc A o W � � x V u z g H rn v. Q 00 r x c7 z 00 0-0 ao c` U U A r M..� cc ad M W H V w A w O a N o O u. I IN BRCti BUILDING DEPARTMENT r VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 JUL 2 4 2025 �--J (914)939-0668 �"-- -�`—� VILLAGE- OF RY'E BROOK www.ryebrookny.gov I BUILDING_ DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required �J FOR OFFICE USE ONLY lE -#t ��/ �� EP#: n � n Approval Date: J Permit Fee: $ Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST 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 an r rem ve electrical equipment, wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. / n / 1.Address: 2k- F" � it�aaT SBL: �l � —3 tU Zone: C P 2.Property Owner: 1 {�tic, 9-'A A we-- Address: Phone#: `'Two Cell#: / ( email: / 3.Master Electrician/Licensed Installer: D 4t/ V ec'e A, J Address: 7& �✓` �-{Cdy 4-V e Lic.#: q�Phone#: / �y p�G O ell#: DQ email:Ca.�/��i21c-L Cam Q Company Name: C«-�- �/ V E-1,e�i��C Address: 7�, 4.Proposed Electrical Work/Fixture Count: N+r 0 O u, ll (-Ib �.II n0 1 , �, e - o•n I b 5.31 Party Electrical Inspection Agency: ********************************************************************************************************* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: C, C i V r 0.being duly sw M,deposes and states that he/she is the applicant above named,and does further (print name of individual signi g s the a plicant) state that(s)he is the for the legal owner and is duly authorized to make and file this application. (M er -lectrician'Licensed Installer) ��111111111//�� The undersigned furth states that all statements contained herein are true�tp` bBill ,knowledge and belief,and that any work performed,or use con ucted at the above captioned property will be in c�oZif to ®Id✓ith t Ails asset forth and contained in this application and in any accompanying approved plans and specifications e1 as ir�R"4apcelyith the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook anr�» �tDeP lgbll�l vs,CTdinances,and regulations. L S,kAWEpfy,P Sworn to ore me this Esoo 25;oZ6wo:<a fo befor me this f i lA J 20 Z p4" ,20 , sj PUe� - > Sign of P operty ewnerA{j�' �t�FIN\ igna of Applicant l �Slf a C't-,V ALENA HAKANAN Print Name of plicant Pri t N e of r petty Omer � NOTmy p jeM,STATE tF NEW YORK Rspistntion No.01HA0013645 CueSitied In Westchester County otary Public My Commission Expires 9H9/2027 gtytry u lic 6/1/2024 INSPECTIONSTATE WIDE Service is ith IraegraY 0 • OFFICEPSWISNY.COM SWIS JOB APPLICATION • Office Use Elect. Permit u [ Date �- /) a - CC Sc:Ft Plumbing Permit u Final Certificate z City/Village Rye brook Zip 10573 TB,,Id,7,gDept. Rye brook County Westchester Address 204 S Ridge street Cross Street Section Block Lot Owner Name/Address(if olfferept man above; won ridge realty Ile Contact Number 914 481 7255 ❑Basement ✓❑1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ✓❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps 2 Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave LummairPs Generator Transfer Switch SERVICE Amperage uPanels I 11P I u Meters a Disconnect []Underground ❑ New 0 Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility IDx ❑Con Ed ❑NYSEG ❑Central Hudson ❑Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Discunriect ❑Legalization 0 Safety Inspection ❑Consultation Scope of Work Demo lights,switches ,plugs & tempers ingesting install &add temp GFI outlets i J U L 2 4 2025 VILLAGE OF RYE BROOK BUIL.DINr, nFPARTP,":t:T Th application is valld to one It veM from the date received by SMS This appliratioi is intended I--the above ksted nem,to be inspected it at any time of inspecbon addli—al items haw been installed.youare authonzed to make the inspection and adjust the tee for the additional hems Inspected The applicant deY fates that there n—pen appik attorn to the above address with arty oth-inspe a company The applicant ownet or authonzed agent agree,rn aft the ah—tans and condaim,a,sM t,Nth for the appllcahc,r, Email Address catelectricalcorp@gmail.com Name Joseph DelVecchio License z 644 Date 7/15/25 Signature Joseph DelVecchio Address 76 Franklin ave City/State Harrison NY Zip Code 10528 Company Cat Del-V electrical Corp Phone # 914 906 4092 v L `t r State Wide Inspection Services C RC 1080 Main Street AUG ' 7 2025 �' Fishkill, NY 12524 TU 845 Phone VILLA OF RYE BROOK 914-2194-219-1062 Fax STATE WIDE INSPECTION SERVICES SUILI r�GE III'G' DEPARTN41ENl Email: office@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: CAT Del-V Electric Corp Win Ridge Realty LLC 76 Franklin Avenue 204 South Ridge Street Harrison, N.Y. 10528 Rye Brook, NY 10573 Located at: 204 South Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-197 141.35 2 I ' 36 Certificate Number: 2025-5283 Building Permit Number: DP25-006 A visual inspection of the electrical system was conducted at the Residential occupancy described below. The electrical system consisting of electrical devices and wiring is located in/on the premises at: 204 South Ridge Street, Rye Brook, NY 10573 The First Floor Store 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 7th day of August 2025. Name Quantity Rating Circuit Type Demo For Interior Walls and Ceiling Only Temporary GFCI 02 Temporary LED Luminaires 02 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. i = i rl CLCA o w A ZW � ►-� o c = F z `n W 'o ° O ~ > c z ° W r-4 co Lne Lf) x � � W A a C) O , �z , U V F--1 E4 v J `� y, /. u z r n c Z W OW "I z , (� A z00 04 z z c a it Cam,) Z a U ] w oa c z z N Lfi o < ■ � V � a � � V BUILDING DEPARTMENT [ECIENED VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 JUL 2 5 2025 (914)939-0G68 VILLAGE OF RYE BROOK �'�`�''��''� BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION l FOR OFFICE USE ONLY �p�066 PP#: �— C`0 Approval Date: J\ 2 Permit Fee: $ I 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,(j,911±)75 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or rentove 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 applicable Federal,State,County and Local Codes. 1.Address: s' =�`f'-G`� SBL: NY, �' Zone:(::, � 2.Proposed Work: Llr (G�/� f�r 1✓Hleo- +.-() 41 w k �(L�� 3 S q AS 3.Property Owner: "F)UT Address: Phone Cell#: ��fl f�.1( email: � 4.Master Plumber. /e'kA f �fG 72 Address: .2 Lic.#: /0 PhoneV 252 -y077 Cell#: email: 6(ilvell L,*% S "jYtG1L�lLti, Company Name: C,6, k4ell o ?4,x bj} he`ll- 4�6dress: 2 9 `� Hwy S /eti �n ti /v J �D�34 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 3rd Floor 40'Floor 5'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 6;1 2024 STATE OF NEW YOR.K,,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. Sworn to before me thi., Sworn to before me this day of ,20 2t day of �� ,20 S bSier�e of Pr erty OwneE Signature of Appli Print Name of Prope ner Print Name of Applicant lz;�� V�-7 %�' K '—' LK, otary Public U Notary PARRI MELILLO ALENA NAKANJIN Notary Public,State of New York NOTARY pUI? X,STATE OF NEW YORK No.OIME6160063 R�istration No.O1NA001b64S auslifled in westehater County Qualified In Westchester County My Commission Expires 911912027 Commission Expires 1andary 29,20— � 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 BUILD RTMENT VM E OF R OOK J U L 2 5 2025 938 KING ET RYE BR ,NY 10573 14) -0 VILLAGE OF RYE BROOK Uv BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANUARY 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: residing at, (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; S-T PL� , 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. A ignature f Propert Owrzs�) \T &Lz--'S4 (Print Name of Property O i k6el-,l 7- Sworn to before me this Z4h' day of 3J 20 (Notary Public) ALENA HAKANAN NOTARY PU",STATE OF NEW YORK 110pIstrstion No.01HA0013645 CwiHied In Westchester County Yy Commission Expires 911912027 6/1/2024 �e N E \ \ w ' It r-lu w .. a y w x ft z a s � v m Li �. 2 7 W F � ~ ON Cn Ln : . T-4 �- All Aa o 1-, 1 w A _ O ~ �" Q'' 10�Z o J 16 r o c O WS � ov � U a CIO cW7 v� -v Q Z < n O A U ..a OO CT V °a v .o t E"n w w w v o 7 5r c. a w Lr, w N N o zz � � � z a H cz a � Z 0 oc V w a L a ESUILDING BUILD MENT L� VIL E OF RY OOK 25 938 KING ET RYE BR NY 10573 4 -0 ��BROOK . ov TMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILAT�IOON AND/OR AIR CONDITIONING EQUIPMENTG� FOR OFFICE USE ONLY: T PERMIT#: Approval Date: I\��-� �y Permit Fee: $ 45CPcL. Approval Signature: Other: L r'- 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 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. Properly completed&Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Contractor's Westchester County Home Improvement License,Liability Insurance. (Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL =$200.00/unit• COMMERCIAL =$450.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation.(48 hour notice required 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 8/1 g 1 i;�S is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. I. Address: l D�L S K� �� (tl 1 • 3 S ' a- b p T � SBL: Zone: 2. Property Owner: i Qc.,oeilrl oS Address: /o eYe �d t01, S`,`¢ a 0 0 Z/ email:Phone#: 4 �/6 306 Cell#: q'7 3 900 �c1- il: A 4 4 �rV SZ1y � c�`°''``( !o S �--, 1,..� ft �. Lori 3. Contractor:l--fg�o C�a'vp Address: Ad get M. �/ k'•kes F.�, �ai►�S Phone#:�I�(��] �3a3 Cell#: �7 Y 6 3a© l email:decFec(""7e-lna d-�,� �°}`'1 4. Scope of Work:New Installation( )•Replacement( )•Removal Other( ): 5. List Equipment: C oe-it . onI y -51 � 6. Location of Equipment: tVo 4v„F SC4 - Per c?(aw, 7. Method of Installation/Removal(list all equipment needed to perform job): _)CC4F1 Id S4L�lre_t ,t!^0 S n' i— 1 7/l/2025 s, ST4TE OF NEW YORK,COUNTY OF WESTCHESTER ) as: I)AP-1EC -I - ��N�Civ� ,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 Heating,Ventilation and/or Air Conditioning Contractor 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. Sworn to before me this V akh, Sworn to before me this 1 day of ,20� day of A U U S} ,20� H. h igna of Pro rty-- cam+ Signature of Applicant -DAY(D 506UaP Dr-� Sq M, Print Name of Property Owmw Print Name of Applicant (�F c-i A,. M ec ca Notary Public Notary Public KELLY SAMDL.ER Notary Public, Sigte of Now York Aaron W Kruk No. 01 FA(`.)0q 382 Notary Public of New York O jalified in V l,stchester County ID#01KR0038957 Commission Expiies March 9, 20;A& Commission Expires 07/02/2029 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. 2 7/l/2025 t Buildin Permit Check List&ZoningAnal sis Address: \ SBL: Zone: Use Const.Type Other. Submittal Date: CD Revisions Submittal Dates: Applicant \C--\ Nature of Work ak Reviews:ZBA: J U L 0 P& BOT: Other. NEED OK ( ) ( ) FEES:Filing. 2 BP: C/O: Flood Plane: Legalization: ( ) (b� P: Dated. —Notarized.- l-SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long Shorn Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival• Sealed: Unacceptable: ( ) (CLANS:Date Stamped: Sealed.— Copies-Z Electronic: Other. (Y( ) 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: ( j( ) PLUMBING:Plans: Permit Nat. 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 Area: Date: U1. 01 2025 Circle: Froze: Front: Front Sides: Rear. Main Cor. Accs.Cor. Ft H Sb: Sd.H Sb: GFA: Tot : Ft.ImD: PP Height/Stories: notes: ACC)" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 164� 7/1/2025 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: Chaim Retek GNP Brokerage USA LLC. an ISU Network Member PHAI ONE Extio 718-851-5400 FAX No: 5 Corporate Drive E-MAIL Central Valley NY 10917 ADDRESS: service@gnpbrokerage.com INSURERS AFFORDING COVERAGE NAIC 0 License*1045961 INSURER A:Accelerant Specialty Insurance Company INSURED DECTMEC-01 INSURER B: GL-DecTech Mechanical Corp. DBA Dectech Construction 340 Saw Mill River RD INSURERC: Yonkers NY 10701 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:741208902 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 7ypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MWDD/YYYY MWDD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y S0072GLDD104-00 11/26/2024 11/26/2025 EACH OCCURRENCE $1,000,000 RENTED CLAIMS-MADE a OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY a JET LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY S0072GLOO104-00 11/26/2024 11/28/2025 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ IAUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR S0072XS00048-00 11/27/2024 11/26/2025 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT IIIOFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E 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. 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 171-01k\\ NYSIF New York State Insurance FUno PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 � ^^A^^^ 853671400 r� i GNP BROKERAGE 2001 57TH ST ❑� k r BROOKLYN NY 11204 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 M2605 195-3 310920 06/02/2025 TO 06/02/2026 711/2025 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://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. 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