HomeMy WebLinkAboutHallenbeck Pavilion Fire Inspection Certificate 2025-2026 14 W
0 r0
O
14 IZ-1 02 E) u
wz � � az z WO
zw
ao
oS � Aw
o ao z o x w �
U W � aa � FH > o
[J�" ►-� W Q O Z ao ° � �' � A NAB
�"� x �+ ►'�"� w z A v ca
pz- A
O W
w x w O
x �.
M O w 0 cn 14 � ;4 v� CA W
C!� O w0 � � � Ow
A o � Z Fuwa � az
� U
x W ►� O w �. M ¢ Lo V W
~ O w Zj �j A °� awA >• zo c a
O ►-� V A FzowAF w w
AG �1 VJ wW �' z � w � w w cn "
v W Q U Z U ~ x a w w F d w w w
U (� a.4
w FF z o
C7 O 00 � z � AzzH cn
a f F ¢ w
F
00 u< o � w Q
M w u, cnV z A
0 a O F A
p w E z V �
U
Fz � A � H � A w z
BUILDING DEPARTMENT
VILLAGE OF RYE,BROOK Initial Inspection Date: V Pass
STEVEN E.FEWS 938 KING STREET,RYE BROOK,NEw YORK 10573 / �2 2S I_J fail
BUILDING&FIRE INSPECTOR (914)939-0668 • www.rYebrookmeov Re-Inspection Date: ❑ Pass
slcws(alacbrooknv.gov
CI fail
FIRE. INSPECTION lb Pi,o 'I', NO'I'ICF, OF VIOLATION & ORDER TO REMEDY SAME
Site Address: l 19 La k l&-as 314ACA Zone: SBL: 1.3 O. 7 7— l — 4!
Occupancy: Cerg.6r4State Use Classification:
Business Owner: of Phone: q1 Y— 17.37— J f 00
Building Owner: Phone: /� p �/
Emergency Contact: A u C�`�+ b _ Phone: 'f y� O T
IOU
Building Representative in Attendance:
Take notice that the following violations of the New York State Uniform Fire reve ion&Building Code and/or the Code of the
Village of Rye Brook were fo nd to exist at, U (a �� AA ,in the Village of
Rye Brook,NY on, See? .5.4"L L2, 20 T person or entity served with this Order to Remedy shall
immediately commence to correct all listed violations and shall completely cure each violation described herein by no later than
which is thirty(30)days after the date of this Order to Remedy.Furthermore,
upon curing any listed violation(s),you shall immediately contact the Building Department during normal business hours to schedule
a re-inspection of the premises to confirm full compliance with all applicable codes,laws,rules®ulations.
BE ADVISED TIIAT POUR FAILIIRE TO CORRI:CI'ALL VIOLATIONS IS A(RIME I'(INISI IA BLE,111'FINE,IMPRISONMENT OR 110TI1.
------------------------------------------------------------------------------------------------------------------------------------------------------
NcI 1"1•ti N/A
1.PORTABLE FIRE ExTINGUISIIERS (PFE's)
a.906.1. Are PFE's installed throughout the space&on the premises as required by code. a.
b.906.3.1.Is the maximum travel distance to a PFE 75 feet or less. b._ ✓
c.906.5.Are PFE's conspicuously located&readily accessible. C._
d.906.6.Are PFE's unobstructed/unobscured from view. d._ _✓ _
e.906.7.Are PFE's properly mounted as per the manufacturers instructions. e.
f.906.9.Are PFE's properly installed:<40 lbs.max.5'above floor;>40 lbs.max.3.5'above floor. f.
2.FIRE ALARM SYSTEM&SMOKE DETECPORS
a.901.6.1. Is the fire alarm system inspected,tested&maintained in accordance with NFPA 72. a. _✓ _
b.907.4.2.1.Are manual pull stations located within 5 feet of exits&within 200 feet of each other. b.
c.907.4.2.2. Is the height of the pull station handle located between 42&48 inches above the floor. C._ s�
d.907.3. Is a fire alarm system provided in existing buildings as per section 907.3.1 &907.3.2. d. ✓
3.FIRE SUPPRESSION SPRINKLER SYSTEM&FIRE HYDRANTS
a.901.6.1.Is the sprinkler system inspected,tested&maintained in accordance with NFPA 25-13. a._
b.901.6.1.Are the plain valves secured against tampering in the open position. b. A
c.901.6.1.Are sufficient clearances maintained from fire sprinkler heads to fixtures or materials. C.
d.901.6.1.Is a supply of six spare heads&a wrench maintained on the premises. d._
e.901.6.1.Are sprinkler heads&cover plates unfinished or of factory applied finish only. C._
f.901.6.3.Are records of all system inspections,tests&maintenance reports maintained on the premises. f
g.913.5.Is the fire pump inspected,tested&maintained in accordance with this section&NFPA 25. g.
h.507.5.2.Is the fire hydrant system properly maintained,operational,compatible w/NST&tested annually. h. ✓
i.507.5.4.Are fire hydrants&fire protection equipment unobstructed. i.
j.507.5.5.Is a clear space of not less that 3 feet maintained around all hydrants. j. ✓
k.901.8.Are all fire protection systems in place and maintained untampered. k.
INSPECTOR: ILDATE:
-1-
NO YES N/A
4.STANDPIPE,CABINETS&FIRE DEPARTMENT CONNECTIONS
a.901.6.1.Is the standpipe system inspected,tested&maintained in accordance with NFPA 25-14. a. _✓ _
b.901.6.1.Has the required flow test been performed within the past 5 years as per NFPA 25-14. b. _ -L./
c.912.2.3 Are standpipe FDC threads compatible with fire department standards. C. _ top _
d.905.7.Are cabinets containing fire fighting equipment unobstructed/unobscured. d. _ _✓ _
e.905.7.1.Are cabinets containing fire fighting equipment properly identified&labeled. e. _ ✓ _
f.912.2.1.Are exterior FDC's fully visible&recognizable from the point of fire department access. f. _ �✓/
g.912.4.Are all FDC's unobstructed and available for immediate access by the fire department. g. _ _✓
5.EXITS,MEANS OF EGRESS&OCCUPANCY
a. 1031.2.Are exits&exit enclosures continuously maintained free from obstructions or impediments. a. _ Vol _
b. 1031.3.Is the means of egress free from obstructions including accumulated ice&snow. b. JZ
c. 1031.6.Are exits maintained unobstructed by furnishings,decorations,draperies,mirrors,etc... C. _ AZ _
d. 1031.7.Are existing emergency escape&rescue openings maintained as per this section. d.
e. 1010.1.Are egress doors provided and maintained as required by this section. e. _✓ _
f. 1004.9.Are all spaces having an assembly occupancy posted with an approved occupant load sign. f. ✓ _
g. 1013.1.Are exits marked by a properly located,approved&readily visible exit sign. g.
h. 1013.1.Is the maximum travel distance to any exit sign in an exit access corridor 100 feet or less. h.
i. 1013.4.Are tactile exit signs complying with ICC/ANSI 117.1.provided as required by code. i.
J. 1013.3.Are all exit signs illuminated at all times. j. _✓ _
k.1008.1.Are the means of egress&exit discharge illuminated at all times the building is occupied. k. _ ✓ _
1. 1018.3.Are public aisles in group B&M occupancies maintained at least 36"wide where fixtures
are placed on one side of the aisle&at 44"wide where fixtures are placed on both sides. /
in. 1018.3.Are non-public/non-accessible aisles serving less than 50 people maintained at least M. _ ✓ _
28"wide,or at least 36"wide where serving 50 or more people.
6.COMBUSTIBLE STORAGE&WASTE MATERIALS
a.304.1.Is the building(s)and premises maintained free from accumulated combustible waste material. a. _ ✓ _
b.304.1.2.Is property free from weeds,grass,vines or other growth capable of being ignited. b.
c.304.2.Is combustible rubbish stored so as not to create a nuisance or hazard to the public. C. _ _✓ _
d.315.3.Are combustible materials properly stored&separated from ignition sources. d. _ _✓ _
e.315.3.1. 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.315.3.2.Are exits&exit enclosures maintained free from stored combustible materials. f. _ _✓ _
g.315.3.3.Are boiler,mechanical&electrical rooms maintained free from stored combustible material. g. _ _✓ _
h.313.1.Is building maintained free from stored fueled equipment.(motorcycles,mopeds,mowers,etc...) h. _ ✓
7.ELECTRICAL
a.604.1.Is the building free from modified/damaged wiring,devices,appliances,equipment a._ ✓
and maintained free from electrical hazards.
b.604.2.Are electrical service equipment areas properly illuminated. b._ _✓ _
c.604.3.Are proper working space clearances provided&maintained for electrical service equipment. C._ ✓ _
d.604.3.Are electrical service equipment working spaces free from any stored materials. d._ _✓ _
e.604.3.1.Are all electrical control panel room doors,panel boards&disconnects properly labeled. e._ _✓ _
f.604.4. Is the building free from unfused multi-plug electrical adapters. f
g.604.5.Are electrical extension cords being used in a safe manner as per code. g.
h.604.6.Are all junction,switch&outlet boxes fitted with approved covers or plates. h.
i.604.6.Is the building free from open-wiring spliced electrical connections. i. </
j.604.8.Are electrical motors maintained free from accumulated oil,dirt&debris. j.
k.915.1.Are Carbon Monoxide Detectors installed&maintained as required by this section and by 1103.9. k._
INSPECTOR: DATE:
-2-
Revised 6/1/2024
No VE's N/A
8.ELEVATORS.DUMawArl'ERS&ESCALATORS
a.[PM]603.1.Are elevators properly maintained,and is the current certificate of inspection on the premises. a.
b.606.3.Are approved standardized,pictorial signs posted adjacent to each elevator call station on all b. _ _ C
floors reading, IN FIRE.ENIERGEM'v,DO Norr Usr:ELEVATOR,USE,ENI r STAIRS k
C.606.7.Are keys for elevator car doors&fire department service kept in an approved location. C.
d.315.3.3.Are elevator machine rooms maintained free from stored combustible material. d.
e.[B]3005.1.Are elevator machine room doors maintained unobstructed at all times. e.
9.COMMERCIAL KITCHENS
a.906.1. Are portable Class K fire extinguishers installed within 30 feet of cooking equipment. a.
b.904.12.5.is the fire protection equipment inspected,tested&maintained as per Section 901.6. b.
c.904.12.5.2.Are automatic fire extinguishing systems serviced at least every 6 months. e.
d.904.12.5.3.Are fusible links&automatic sprinkler heads replaced annually. d.
e.[RB]122-5.13.Are grease traps provided and installed as required by Village Code.
f.[PC]1003.10.[RBI 122-6.Are grease traps properly maintained as per State and Village Code.
g.[RB] 122-6.C., 122-9.Are all service,maintenance,&repair records for grease traps and related
plumbing maintained on the premises as required by Village Code. g.
10.HEATING SYSTEMS
a. [PM]603.1.Are all heating appliances properly installed&maintained in a safe working condition. a. ✓ _
b.[PM]603.2.Are all fuel-burning appliances&equipment connected to an approved chimney or vent. b. vdl' _
c.[PM]603.3.Are heating appliances maintained with proper clearances from combustible material. C. _✓ _
d.[PM]603.4.Are safety controls for fuel-burning equipment maintained in effective operation. d. .101
_
e.[PM]603.5.Is the fuel-burning equipment provided with adequate combustion&ventilation air. e. ✓
11.MOTOR FUEL-DISPENSING FACILITIES&REPAIR GARAGES
a.2303.2.Is an approved,labeled&readily accessible emergency disconnect switch provided a.
in an approved location within 100'of,but not less than 20'from fuel dispensers.
b.2304.3.4.Are dispenser operating instructions conspicuously posted on every fuel dispenser. b. _
c.2304.2.4.Are fuel-dispensers unobstructed&in clear view of the attendant at all times. C. _ �C
d.2305.5.Are approved portable fire extinguishers complying with Section 906 with a minimum rating of d. _ _ x
2-A:20-B:C provided&located not more than 75' from pumps,dispensers&fill-pipe openings.
e.2305.6.Are warning signs provided&posted within sight of each dispenser as per this section. e. _ V
f.2305.7.Are weeds and other combustible materials kept at least 10'from fuel-handling equipment. f. _C
g.2306.4.Are above-ground tanks provided with vehicle impact protection. g.
h.2306.5.Are above-ground tanks provided with secondary spill containment. h.
12.HAZARDOUS MATERIALS(HAZ-MATS)
a.407.2.Are S.D.S.Sheets for all haz-mats readily available on the premises. a.
b.407.3.Are spaces and individual containers containing haz-mats properly labeled&identified. b. _ ✓
c.5004.2.Are stored haz-mats provided with approved secondary spill containment. C. ✓ _
d.5003.7.1.Are proper NO SMOKING signs provided as per this section. d.
13.MISCELLANEOUS
a.403.1. Is an approved fire safety&evacuation plan prepared&maintained for the building/occupancy. a. _ _✓ _
b.405.1.Are emergency evacuation drills conducted at the intervals as specified in Table 405.2. b. _✓ _
c.405.5.Are records of emergency evacuation drills kept&maintained on the premises. C. �✓ _
d.505.1.Are approved address&building numbers properly placed&plainly visible from the street. d.
e.506.1.Are approved key boxes(knox boxes)provided,properly located&equipped with the proper keys. e. _ _✓ _
f.703.1. Is all required fire-resistance rated construction properly maintained as per code. t
g.703.1.Are openings through fire-resistance rated assemblies properly protected&maintained. g.
h.5303.5.Are compressed gas cylinders&systems secured&safeguarded against damage&access. 11. �D
].5303.6.1.Are compressed gas cylinder caps or collars in place at all times except when tanks are in use. i.
14.GENERAL HOUSEliEEPING
a.Good
b.Fair
c. Inadequate ' ^
d.Poor INSPECTOR: Z' "� DATE: 9— t -t-
-3-
Re,,,scd 6/1/2024
Report of Inspection / Test ���REPROIITrfC,
Quarterly NFPA 25 ��
08-29-2025 Conducted by:Craig Lewis C�
Property i
Hallenbeck Learning Center-Cerebral Palsy Calculated Fire Protection Co., Inc.
Westchester 2510 Route 44,Suite 2 ' '
1186 King Street Hallenbeck Learning Center Salt Point NY 12578
Rye Brook NY 10573 845-677-5201
Danny Graham Service@calculatedfire,com
Print Date:08-29-2025
Report of Inspection / Test General Questions
OWNER SECTION
Is the building occupied? 123 Yes Has the occupancy classification,hazard of contents, O Yes
❑ No and/or storage method remained the same since the ❑ No
❑ NA last inspection? ❑ NA
Are all fire protection systems in service? O Yes Has the system remained in service without O Yes
O No modification since the last inspection? ❑ No
❑ NA ❑ NA
VALVE AREA
Are all check valves externally inspected,operating O Yes Are the gauges on system showing normal water supply O Yes
properly,and are in good condition? ❑ No pressure? ❑ No
O NA ❑ NA
Have the mechanical waterflow alarm devices passed 0 Yes Are valves identified with proper signage? O Yes
tests by opening inspector's test connection/bypass ❑ No ❑ No
connection with alarms actuating and flow observed? ❑ NA ❑ NA
ALARMS
Are alarms and supervisory devices not damaged? O Yes
❑ No
❑ NA
FIRE DEPARTMENT CONNECTION
Is the FDC plainly visible and easily accessible with caps O Yes Is the FDC check valve free of leaks and is the visible O Yes
and plugs in place and undamaged? ❑ No piping supplying the FDC undamaged? ❑ No
O NA ❑ NA
Is the FDC identification sign(s)in place? O Yes
❑ No
Q NA
MAINTENANCE
Was a valve status test conducted after opening any 2) Yes
closed valve? ❑ No
❑ NA
WET VALVE
Is the alarm valve and associated trim free from physical D Yes Is the trim in correct(open or closed)position? O Yes
damage? ❑ No ❑ No
❑ NA ❑ NA
Is there no leakage in the retarding chamber or drains? O Yes
❑ No
❑ NA
Copyright 2025 Inspect Point
Page 2 of 4
Report of Inspection / Test E�Er,REPROtE�T�o
Quarterly NFPA 25
08-29-2025 Conducted by:Craig Lewis
Property www.calculatedfire.com
Hallenbeck Learning Center-Cerebral Palsy Calculated Fire Protection Co., Inc.
Westchester 2510 Route 44,Suite 2 (845)617-5201
1186 King Street Hallenbeck Learning Center Salt Point NY 12578
Rye Brook NY 10573 845-677-5201
Danny Graham Service@calculatedfire.com
Print Date:08-29-2025
MAIN DRAIN FLOW TESTS
System Initial Static Residual Static Seconds to Flow Did waterflow Are results
Return to Observed? alarm comparable
Initial Static operate? to previous
test?
W-Basement 80 70 80 1 Yes Yes Yes
INSPECTORS TEST CONNECTION
W-Basement (Wet)
Location Description Time Reported? Smooth Easily Signs? Pass?
to Orifice Accessible
Alarm
(seconds)
R�sel TV Yes Yes Yes Yes Yes
VALVES
W-Basement (Wet)
Valve Easily Stems #of
Description Location Type Size Secured Open Accessible Signs Exercised Lubricated Turns
Supply Bsmt OS&Y 6" Monitored Yes Yes Yes Yes Yes
Control Bsmt Butterfly 4" Monitored Yes Yes Yes Yes Yes
Copyright 2025 Inspect Point
Page 3 of 4
QReport of Inspection / Test `Q�����REPROTf�l�oyc
08-29-2025 Conducted by:Craig Lewis
Property www.calculatedfire.com
Hallenbeck Learning Center-Cerebral Palsy Calculated Fire Protection Co.,Inc.
Westchester 2510 Route 44,Suite 2 '
45)611-5201
1186 King Street Hallenbeck Learning Center Salt Point NY 12578
Rye Brook NY 10573 845-677-5201
Danny Graham Service@calculatedfire.com
Print Date:08-29-2025
Inspector Signature
I state that the information on this form is correct at the time and place of my inspection,and all equipment tested at this time was left in
operational condition upon completion of this inspection except as noted.
Inspector Name Signature Date Completed
Craig Lewis 2025-08-29
Copyright 2025 Inspect Point
Page 4 of 4
Report of 25spection / Test ����EEREPROTE�rZoyc
08-29-2025 Conducted by:Craig Lewis
Property www.calculatedfire.com
Hallenbeck Learning Center-Cerebral Palsy Calculated Fire Protection Co., Inc.
Westchester 2510 Route 44,Suite 2 i
1186 King Street Hallenbeck Learning Center Salt Point NY 12578
Rye Brook NY 10573 845-677-5201
Danny Graham Service@calculatedfire.com
Print Date:08-29-2025
Deficiencies- General Questions
None
Deficiencies-General Wet System Questions
None
Deficiencies-W-Basement
None
Deficiencies- Inspectors Test Connection
None
Deficiencies-Valves
None
Copyright 2025 Inspect Point
Page 1 of 4
2
BUILDING
.; g . REPORTS
I .
Fire Alarm Systems
INSPECTIDN
Cerebral Palsy - Hallenbeck Bldg
1186 King Street
Purchase, NY 10577
914-384-4060
Building Contact: Danny Graham
Title: Manager
Company: Everon
Contact: Calvin Powe
Title: Inspector
Inspection Date: May 20, 2025
Tested to NFPA 72 Standards
This Inspection was performed in accordance with applicable NFPA Standards.The subsequent pages of this report provide performance measurements,listed
ranges of acceptable results,and complete documentation of the inspection.Whenever discrepancies exist between acceptable performance standards and
actual test results,notes and/or recommended solutions have been proposed or provided for immediate review and approval.
EXECUTIVE SUMMARY
Generated by: BuildingReports.com
Building Information
Cerebral Palsy-Hallenbeck Bldg Contact:Danny Graham
1186 King Street phone:914-384-4060
Purchase,NY 10577
United States of America Fax:
Mobile:
Email:
Inspection Performed By
Everon Inspector:Calvin Powe
Everon LLC Phone:914-327-6925
6 Skyline Dr.
Hawthorne,NY 10532 Fax:
United States of America Mobile:
Email:calvin.powe@redhawkus.com
System Control Unit
Manufacturer:Est Inspection Date:05/20/2025 IDC Style:
Model Number:io 500 Install Date:02/02/2017 SLC Style:
Software Version: Version Date:08/03/2017 NAC Style:
Location:Basement Disconnect Location: Disconnect Type:
Current Protection:
Inspection Summary
Total Items Serviced Passed Failed/Other
Category Qty % Qty % Qty % Qty %
Control 3 3.85% 3 100.00% 1 33.33% 2 66.67%
Initiating 73 93.59% 1 1.37% 1 100.00% 0 0.00%
Supervisory 2 2.56% 2 100.00% 2 100.00% 0 0.00%
Totals 78 100% 6 7.69% 4 66.67% 2 33.33%
Certification
Everon Page 1 of 16 Download Date;07/10/2025
Executive Summary
Company:Everon Building:Cerebral Palsy-Hallenbeck Bldg
Inspector:Calvin Powe Contact:Danny Graham
Everon Page 2 of 16 Download Date:07/10/2025
Executive Summary
DISCREPANCY REPORT
Deficiency, Impairment, and Observation
Generated by: BuildingReports,com
The Discrepancy Report consolidates each discrepancy listed within the various Testing sections of your Inspection.
Discrepancies are listed by Category, and grouped by device type.The description of the problem is provided and where
appropriate,code references are listed for your convenience.Any item that was inspected that is subject to a recall or part of a
manufacturer's replacement/upgrade program is included.
Building: Cerebral Palsy - Hallenbeck Bldg
Items listed for Recall or Replacement/Upgrade
Device Type Manufacturer Model Number Date Qty
No recalled items found during this inspection.
Building: Cerebral Palsy - Hallenbeck Bldg Control Panel: 2
Discrepancies
ScanlD Location Problem Address Reference
CONTROL
Battery
33089279 Basement Fail test 2
33089282 Basement Fail test 2
Everon Page 3 of 16 Download Date:07/10/2025
Discrepancy Report
PROPOSED SOLUTIONS REPORT
Generated by: BuildingReports.com
The Proposed Solution Report provides a solution for each discrepancy listed on the Discrepancy Report.Provide a check mark
where indicated to approve repairs listed within the report.Items listed as T/M are available for repair on a Time and Materials
basis.
Building: Cerebral Palsy- Hallenbeck Bldg Control Panel: 2
ScanlD Location Solution Model# Cost Fix
CONTROL
Battery
33089279 Basement Replace battery PS-12180 F2 T/M ❑
33089282 Basement Replace Battery PS-12180 F2 T/M ❑
Customer WO/PO#: Internal WO/PO#: Total:T/M
• (none) (none)
Everon Page 4 of 16 Download Date:07/10/2025
Proposed Solutions Report
INSPECTION & TESTING
Generated by: BuildingReports.com
The Inspection&Testing section lists all of the items inspected in your building.Items are grouped by Passed or Failed/Other..
Items are listed by Category.Each item includes the services performed,and the time&date at which testing occurred.
Building: Cerebral Palsy - Hallenbeck Bldg Control Panel: 1 - Est io 500
Device Type Location Service Time Date
PASSED
Control
Control Panel Basement Tested 1:21:04 PM 05/20/2025
Initiating
Waterflow Switch Basement Tested 1:16:00 PM 05/20/2025
Supervisory
Tamper Switch Basement Tested 1:15:01 PM 05/20/2025
Tamper Switch Basement Tested 1:20:54 PM 05/20/2025
UNTESTED
Initiating
CO Detector Main level day room
CO Detector Basement Entry
CO Detector Basement by FACP
CO Detector Attic
Duct Detector Basement open area.unit 1
Duct Detector Basement open area.unit 3
Heat Detector Main level bathroom
Heat Detector Main level kitchen rec.rm
Heat Detector Main level men's rm
Heat Detector Main level women's rm
Pull Station Main level Day Room
Everon Page 5 of 16 Download Date:07/10/2025
Inspection&Testing
Device Type Location Service Time Date
UNTESTED(continued)
Initiating(continued)
Pull Station Main level corridor attic entry
Pull Station Main level corridor by reception
Pull Station Main level corridor by rm 3
Pull Station Main level main lobby
Pull Station Main level side exit foyer
Pull Station Basement Entry
Pull Station Attic Top Of Stair
Smoke Detector Main level corridor by side exit
Smoke Detector Main level Board rm 6
Smoke Detector Main level Corridor by rm 14
Smoke Detector Main level Day rm skylight
Smoke Detector Main level Day rm.
Smoke Detector Main level Day rm.
Smoke Detector Main level Day rm.
Smoke Detector Main level Day rm.
Smoke Detector Main level Main lobby
Smoke Detector Main level Office 14
Smoke Detector Main level Room 1
Smoke Detector Main level Room 12
Smoke Detector Main level Room 8
Smoke Detector Main level Server room
Smoke Detector Main level corridor by board rm
Smoke Detector Main level corridor by pantry
Smoke Detector Main level corridor by reception
Smoke Detector Main level corridor by rm 3
Everon Page 6 of 16 Download Date:07/10/2025
Inspection&Testing
Device Type Location Service Time Date
UNTESTED(continued)
Initiating(continued)
Smoke Detector Main level corridor by rm 8
Smoke Detector Main level main lobby
Smoke Detector Main level reception
Smoke Detector Main level room 10
Smoke Detector Main level room 11
Smoke Detector Main level room 13
Smoke Detector Main level room 2
Smoke Detector Main level room 3
Smoke Detector Main level room 4
Smoke Detector Main level room 5
Smoke Detector Main level room 7
Smoke Detector Main level room 9
Smoke Detector Main level side Exit foyer
Smoke Detector Main level toilet
Smoke Detector Main level Mens toilet by pantry
Smoke Detector Basement Open Area left
Smoke Detector Basement Open Area left
Smoke Detector Basement Open Area left
Smoke Detector Basement Open Area left
Smoke Detector Basement crawl space
Smoke Detector Basement crawl space
Smoke Detector Basement open area
Smoke Detector Basement open area by FACP
Smoke Detector Basement open area left
Smoke Detector Basement open area left
Everon Page 7 of 16 Download Date:07/10/2025
Inspection&Testing
Device Type Location Service Time Date
UNTESTED(continued)
Initiating(continued)
Smoke Detector Basement open area right
Smoke Detector Basement open area right
Smoke Detector Basement open area right
Smoke Detector Basement open area right
Smoke Detector Attic Open Area
Smoke Detector Attic Open Area
Smoke Detector Attic Open Area
Smoke Detector Attic Open Area
Smoke Detector Attic Sky Light
Building: Cerebral Palsy - Hallenbeck Bldg Control Panel: 2
Device Type Location Service Time Date
FAILED/OTHER
Control
Battery Basement Tested 1:21:18 PM 05/20/2025
Battery Basement Tested 1:21:34 PM 05/20/2025
UNTESTED
Initiating
Heat Detector Main level back office
Heat Detector Basement boiler rm
Everon Page 8 of 16 Download Date:07/10/2025
Inspection&Testing
SERVICE SUMMARY
Generated by: BuildingReports.com
The Service Summary section provides an overview of the services performed in this report.
Building: Cerebral Palsy - Hallenbeck Bldg
Device Type Service Quantity
PASSED
Control Panel Tested 1
Tamper Switch Tested 2
Waterflow Switch Tested 1
Total 4
FAILED/OTHER
Battery Tested 2
Total 2
UNTESTED
CO Detector 4
Duct Detector 2
Heat Detector 6
Pull Station 8
Smoke Detector 52
Total 72
Grand Total 78
Everon Page 9 of 16 Download Date:07/10/2025
Service Summary
BATTERY & POWER SUPPLY TESTING
Generated by: BuildingReports.com
The Battery&Power Supply Testing section details the readings and measurements of batteries and power supplies used to
provide power to the fire alarm and life safety systems.Items are grouped by Passed or Failed/Other.
Building: Cerebral Palsy - Hallenbeck Bldg Control Panel: 2
Battery
Rated Rated Post Tested
Type Location Ah Volts Pre Test Test Min Ah Ah
FAILED/OTHER
Sealed Lead Acid Basement 18amp 12v
Sealed Lead Acid Basement 18amp 12v
Everon Page 10 of 16 Download Date:07/10/2025
Battery&Power Supply Testing
INVENTORY & WARRANTY REPORT
Generated by: BuildingReports.com
The Inventory&Warranty Report lists each of the devices and items that are included in your Inspection Report.A complete
inventory count by device type and category is provided.Items installed within the last 90 days,within the last year,and devices
installed for two years or more are grouped together for easy reference.
Building: Cerebral Palsy- Hallenbeck Bldg
Device or Type Category %of Inventory Quantity
Battery Control 2.56% 2
CO Detector Initiating 5.13% 4
Control Panel Control 1.28% 1
Duct Detector Initiating 2.56% 2
Heat Detector Initiating 7.69% 6
Pull Station Initiating 10.26% 8
Smoke Detector Initiating 66.67% 52
Tamper Switch Supervisory 2.56% 2
Waterflow Switch Initiating 1.28% 1
Building: Cerebral Palsy - Hallenbeck Bldg Control Panel: 1 - Est io 500
Type Qty Model# Description Install Date
IN SERVICE-5 YEARS TO 10 YEARS
Edwards
Heat Detector 1 2838 Fixed Temperature 03/17/2016
Pull Station 1 SIGA-270 02/02/2017
Pull Station 5 270 Single Action 02/02/2017
Pull Station 1 270- Single Action 02/02/2017
Smoke Detector 1 SIGA2-PS Photoelectric 03/17/2016
Smoke Detector 1 Siga2PS Photoelectric 03/17/2016
Everon Page 11 of 16 Download Date:07/10/2025
Inventory&Warranty Report
Type Qty Model# Description Install Date
IN SERVICE-5 YEARS TO 10 YEARS(continued)
Edwards(continued)
Smoke Detector 2 siga2PS Photoelectric 03/17/2016
Est
Control Panel 1 io 500 02/02/2017
Duct Detector 1 SIGA-SD Photoelectric 02/02/2017
Duct Detector 1 SIGA-SD Photoelectric 02/02/2017
Heat Detector 1 HRS-2 02/02/2017
Heat Detector 2 HRS2 02/02/2017
Pull Station 1 SIGA-270 Single Action 02/02/2017
Smoke Detector 6 SIGA2-PS 02/02/2017
Smoke Detector 1 siga-ps 2 02/02/2017
Smoke Detector 26 SIGA2-PS Photoelectric 02/02/2017
Smoke Detector 15 siga-ps 2 Photoelectric 02/02/2017
Kidde
CO Detector 4 02/02/2017
Lansdale
Tamper Switch 1 djw12 02/02/2017
System Sensor
Tamper Switch 1 33089262 02/02/2017
Waterflow Switch 1 wfd40 02/02/2017
Building: Cerebral Palsy - Hallenbeck Bldg Control Panel: 2
Type Qty Model# Description Install Date
IN SERVICE-3 YEARS TO 5 YEARS
Power-Sonic
Battery 2 PS-12180 F2 Sealed Lead Acid 01/03/2022
IN SERVICE-5 YEARS TO 10 YEARS
Everon Page 12 of 16 Download Date:07/10/2025
Inventory&Warranty Report
Type Qty Model# Description Install Date
IN SERVICE-5 YEARS TO 10 YEARS(continued)
Edwards
Heat Detector 2 2838 Fixed Temperature 03/17/2016
Everon Page 13 of 16 Download Date:07/10/2025
Inventory&Warranty Report
ZONE ADDRESS REPORT
Generated by: BuildingReports.com
The Zone Address Report lists all of the devices and items that have an individual address,or are grouped together under a
common zone.The device type,location,and description are included for your reference.
Building: Cerebral Palsy - Hallenbeck Bldg Control Panel: 1 - Est io 500
Address Device Type Location Type ScanID
ZONE/CIRCUIT: 1
001 Smoke Detector Main level Room 1 Photoelectric 32784993
002 Smoke Detector Main level reception Photoelectric 32764992
003 Smoke Detector Main level room 2 Photoelectric 40318099
004 Smoke Detector Main level room 3 Photoelectric 40318100
005 Smoke Detector Main level room 4 Photoelectric 40318101
006 Smoke Detector Main level room 5 Photoelectric 32784977
007 Smoke Detector Main level Board rm 6 Photoelectric 32784994
008 Smoke Detector Main level side Exit foyer Photoelectric 32784988
009 Smoke Detector Main level room 7 Photoelectric 43876318
010 Smoke Detector Main level Room 8 Photoelectric 32784997
011 Smoke Detector Main level room 9 Photoelectric 32784996
012 Smoke Detector Main level room 10 Photoelectric 32784995
014 Smoke Detector Main level room 11 Photoelectric 36248016
015 Smoke Detector Main level Room 12 Photoelectric 40318097
016 Smoke Detector Main level room 13 Photoelectric 40318098
018 Smoke Detector Main level Mens toilet by pantry Photoelectric 32784999
019 Smoke Detector Main level toilet Photoelectric 32784998
020 Smoke Detector Main level Server room Photoelectric 43876316
021 Smoke Detector Main level Office 14 Photoelectric 36248015
Everon Page 14 of 16 Download Date:07/10/2025
Zone Address Report
Address Device Type Location Type ScanlD
ZONE/CIRCUIT: 1 (continued)
022 Smoke Detector Main level Corridor by rm 14 Photoelectric 32784984
023 Smoke Detector Main level corridor by reception Photoelectric 32784991
024 Smoke Detector Main level corridor by rm 3 Photoelectric 32784990
025 Smoke Detector Main level corridor by pantry Photoelectric 32784989
026 Smoke Detector Main level corridor by side exit Photoelectric 32784987
027 Smoke Detector Main level corridor by rm 8 Photoelectric 32784986
028 Smoke Detector Main level corridor by board rm Photoelectric 32784985
029 Smoke Detector Main level Main lobby Photoelectric 36248017
030 Smoke Detector Main level main lobby Photoelectric 33089260
032 Smoke Detector Main level Day rm. 33089269
033 Smoke Detector Main level Day rm. 33089292
034 Smoke Detector Main level Day rm. 33089291
035 Smoke Detector Main level Day rm. 33089295
038 Smoke Detector Attic Open Area Photoelectric 45685537
039 Smoke Detector Attic Open Area Photoelectric 45685536
040 Smoke Detector Attic Open Area 45685535
041 Smoke Detector Attic Open Area 45685534
042 Smoke Detector Attic Sky Light Photoelectric 45685533
043 Smoke Detector Basement open area left Photoelectric 40318084
044 Smoke Detector Basement Open Area left Photoelectric 40318091
045 Smoke Detector Basement Open Area left Photoelectric 40318092
046 Smoke Detector Basement Open Area left Photoelectric 43876281
047 Smoke Detector Basement open area right Photoelectric 40318090
048 Smoke Detector Basement open area right Photoelectric 40318089
049 Smoke Detector Basement open area by FACP Photoelectric 43876289
050 Smoke Detector Basement open area right Photoelectric 40318088
Everon Page 15 of 16 Download Date:07/10/2025
Zone Address Report
Address Device Type Location Type ScanlD
ZONE/CIRCUIT: 1 (continued)
051 Smoke Detector Basement open area right Photoelectric 40318087
052 Smoke Detector Basement open area left Photoelectric 40318096
053 Smoke Detector Basement Open Area left Photoelectric 40318085
054 Smoke Detector Basement crawl space Photoelectric 40318094
055 Smoke Detector Basement crawl space Photoelectric 40318093
056 Duct Detector Basement open area.unit 1 Photoelectric 40318095
057 Duct Detector Basement open area.unit 3 Photoelectric 33089284
058 Smoke Detector Basement open area Photoelectric 40318086
059 Smoke Detector Main level Day rm skylight 33089270
126 Pull Station Main level main lobby Single Action 32784982
127 Pull Station Main level Day Room 32784983
128 Pull Station Main level corridor by reception Single Action 32784978
129 Pull Station Main level corridor by rm 3 Single Action 32784979
130 Pull Station Main level side exit foyer Single Action 32784980
131 Pull Station Main level corridor attic entry Single Action 32784981
132 Pull Station Attic Top Of Stair Single Action 45685538
133 CO Detector Attic 43876767
135 CO Detector Main level day room 43876266
137 CO Detector Basement Entry 43876275
138 CO Detector Basement by FACP 43876267
139 Waterf low Switch Basement 33089262
140 Tamper Switch Basement 33089263
141 Tamper Switch Basement 33089267
142 Pull Station Basement Entry Single Action 33089268
Everon Page 16 of 16 Download Date:07/10/2025
Zone Address Report
NE'N YO. STATE DEPARTMENT OF HEALTH Report on Test and Maintenance
Bureau of Public Water Supply Protection
of Backflow Prevention Device
For the year ?0?'5
initial test- complete entire form
sm Annual test-Complete Part A only
Please use a separate form for each device. Block Lot
Account No. County
Public Water Supply N/A Westchester
Jeolia -
- Location of Device
hi j1ding
HallenBeck Bldg out,5ije Pit by EMnt-Qf
Facility Name
1186 King St Rye Brook 10573 —_ _-- ----
Address zip
Street City
Type C� RPZ Model Size (in inches) Serial Number
T
Device Manufacturer DCV 0.75 73609
Information attS
Differential Pressure Line Pressure
Check Valve No. 1 Check Valve No.2 Relief VaIA m
Leaked Leaked ❑ Opened at psid Date
Test Closed tight Vs:.7 Closed tight M ���D��� �� Y
before
repair Pressure dro across first
check valve 9-psid Repaired by
Name
Describe Lic#
repairs and
Date repaired:
materials
used ❑❑ �❑
M D
Final
Closed tight Closed tight Opened at psid Date M D m Y
test M
Pressure drop across first
check valve psid Type of Service: (check one)
Water Meter Number Meter Reading yp Other
eptune
94775194 ❑ Domestic(❑ Fire ❑
Remarks (Describe deficiencies bypasses,outlets before the device,connections between the device and point of entry.missing or inadequate airgaps,etc.
Certifica n:This device meets,❑does NOT meet,the requirements of an ac eptab
ir 'n ent device at the time of tesing.
I hereby certify the foregoing data to be correct. 1 2�- / /
re
V vF bi e Expiration Date
Print Name Certifieffester No.
Propertyowner's (orowner's agent) certification that test was performed:
G r' f f oE�f /�t1�/'✓'�I�F c`��/l�C Signature �Telephone
Print Name
To be completed by the design engineer or architect
C Certification that installation is in accordance with the approved plans- or water supplier.)
I hereby certify that this installation is in accordance with the approved plans. NYS DOH Log#
Name
Title Date
--
M D 1r —
License Number Phone( )
Describe minor installation changes
Representing
Address
City State ZlP
Signature --- -Ive one supplier within 30days of the testing device.
NOTE:Send one completed copy
to the designatedwater eealth mmediartmtelyef device nt sfails`,est and repai spcannot immediately be made.
Noti
own
and
DOH-1013(9/91)
NEW YORE STATE DEPARTMENT OF HEALTH Report on Test and Maintenance
Bureau of Public Water Supply Protection
of Backflow Prevention Device
For the year 2025---
Initial test- complete entire form
Please use a separate form for each device. [XD Annual test-complete Part A only
Lot
Count Block
Public Water Supply Account No. y
N/A Westchester
Jeolia
Location of Device
Facility Nam�IallenBeck Bldg _
)I fildinq
1186 King St Rye Brook 10573 —
Address zipStreet City
❑� RPZ Model Size (in inches) Serial Number
Type
Device Manufacturer = DCV 6 126633
Information Watts
Differential Pressure Line Pressure_ Q Psi
Check Valve No. 1 Check Valve No.2 Relief Val ve
Leaked 0 Leaked = Opened at `- psid Date t_S11
Test Closed tight ? Closed tight 110 I�M D Y
before
repair Pressure drop across first
check valve '� O psid Repaired by
Nape
Describe Lic#
repairs and
Date repaired:
materials
used ❑�
m Y
Final Closed tight Closed tight Opened at psid Date m m m
test M D Y
Pressure drop across first
check valve psid
Water Meter Number Meter Reading Type of Service: (check one}
❑ Domestic )p Fire ❑Other
Remarks (Describe connections between the device and point of entry.missing or inadequate airgaps,etc.)
deficiencies:bypasses,outlets before the device,
Certification:This deviceIhe foregoing does data T correct
t e requirements an a cep able nt 'nment device at the time of tesing.
I hereby certify 9 `
' ig e Expiration Date
Print Name CertifiedTester No.
t)certification that test was performed:
Propertyowner's (orowner's agen
� r Ica
J'itr r� _/�V1�i"r_`•^!�rtr�k' ( )TTelephone
( v C Title Signature
Print Name
To be completed by the design engineer or architect
Z Certification that installation is in accordance with the approved plans. or water supplier.)
I hereby certify that this installation is in accordance with the approved plans. NYS DOH Log##
Name Title Date
YLicense Number Phone( )
M p --
Describe minor installation changes
Representing
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)
SEW YORf< STATE DEPARTMENT OF HEALTH Report on Test and Maintenance
3ureau of Public Water Supply Protection
of Backflow Prevention Device
For the year 2025 —
(� Initial test- comPlete entire form
� Annual test-Complete Part A only
Please use a separate form for each device. Block Lot
Account No. bounty
Public Wa ter Supply N/A Westchester
✓eolia Location of Device
HallenBeck Bldg Cellar
Facility Name Rye Brook 10573 -------
1186 King St
Address City zip — Serial Number
Street T e RPZ Model Size (in inches) 002528
Device �/lattsfacturer
yp �] DCV 2
Information Vv Differential Pressure Line Pressure .Psf
Check Valve No.
Check Valve No.2 Relief V ve T
1 � Jan II
Leaked
Leaked opened at v" psid Date 1 C
L�p
Test Closed tight Closed tight M D
before
repair Pressure drop ac oss first
check valve, psid Repaired by
Name
Describe Lic#
repairs and Date repaired:
materials m m [U,
used M D
m
Final Closed tight Closed tight Opened at psid Date M D y
M D
test Pressure drop across first
check valve psid Type of Service: (check one)
Meter Reading yp ❑Other
Water Meter Number Domestic [I Fire
(Describe deficiencies:bypasses,outlets before the device.connections between the device and point of entry,missing or inadequate airgaps,etc
Remarks
❑does NOT meet,the requirements o an acc pt b c ntai ment device at the time of tesing.
Certifica ion:This device meets,
I hereby certify the foregoing data to be correct.
Igna e
Expiration Date
CertifiedTester No.
Print Name
tification that test was performed:
Propertyowner's (orowner's agent)cer
8 N kv Telephone
Title — - S' nature
Print N me
To be completed by the design engineer or architect
+ Certification that installation is in accordance with the approved plans. or water supplier.)
I hereby certify that this installation is in accordance with the approved plans. NYS DOH Log#
Name
Title D at e
M D Y
License Number Phone( ) —
Describe minor installation changes
Representing
Address
City State Zip
Signature supplier within 30days of the testing device.
NOTE:Send one completed copy to the designated health department reprosentative and one copy to the water Notify owner and water supplier immediately if device fails test and repairs cannot immediately he made.
DOH-1013(9/91)
BUILDIN � 1YRTMENT
VI L E OF RY �f1tPOK
II AUG 19 2025
938 KING ET RYE BRO NY 10573
-0 VILLAGE OF RYE BROOK
€ ov B�.lil_nING nEPARTMENT
FIRE INSPECTION / OPERATING PERMIT APPLICATION
FOR OFFICE USE ONLY:Fee Paid: $ —P� (�Inspection Date&Time: — I .
FEE SCHEDULE: Re-inspection Date&Time:
Triennial & Private School Annual Inspection: =$450.00
Public Assembly Annual Inspection: <100 People=$525.00/>100 People=$775.00
Application,dated: is hereby made to the 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.
1186 King Street (Hallenbeck Bldg)
1. Address: SBL: Zone:
2. Business/Occupancy Name:Cerebral Palsy of Westchester NYS Use Class:
3. Property Owner: Cerebral Palsy of Westchester Address:
Phone# Cell# email:
5. Business Owner: Address:
Phone# Cell # email:
6. Emergency Contact: Dan Graham Address:
Phone# 914-937-3800 x407Ce11# 914-384-4060 email: Danny.graham(aD_cpwestchesterorg
7. Inspection Escort: Dan Graham Title:
Phone#: Cell#: email:
S. Provide a brief description outlining the current and/or intended use of the property: Office space
9. List all Hazardous Materials:
10. Occupant Load: Existing: 69 Proposed: Other:
11. Date&Disposition of Previous Fire Inspection: 8/20/24 ❑ Pass ❑ Fail
1
6/1/2024
M
This application must include the notarized signature(s) of the legal owner(s) of
the above mentioned property, in the space provided below. Any application not
bearing the legal property owner's notarized signature(s) shall be deemed null
and void, and will be returned to the applicant.
STATE OF NEW YORK )
COUNTY OF WESTCHESTER ) as:
Linda Kuck
,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
Executive Director ,for the legal owner and is duly authorized to make and file this application. That all
(indicate architect,business owner,attorney,agent,etc.)
statements contained herein are true to the best of his/her knowledge and belief,and that any work performed or use conducted
at the above captioned property will be in conformance with the details as set forth and contained in this application and in any
accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention
&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this Sworn to before me this
i Cl
day of 1 (� , 20�7� day of , 20 —?7 —i�
otary P blic No ry Pu iF
nature of Property Owner i ature of Applicant
Print Name of Property Owner Print Name of Applicant
STEPHANIE RUSSO-PASTiLHA STEPHANIE RUSSO-PASTiLHA
Notary Public,State of New York Notary Public,State of New York
No.01 RU613651 9 No.0 1 RU613651 9
Qualified in Westchester County Qualified in Westchester County
Commission Expires Nov.7,20:2.5 Commission Expires Nov.7,20.;;P—s^
2
6/1/2024