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HomeMy WebLinkAboutDP25-009L�S.ili f SECTION LOCATION TCO # FEE DATE DATE FQOTING FOUNDATION FRAMING RGH FRAMING iNSULATION PLUMBING i 2 2dtC RGH PLUMBING GAS ❑ SPRINKLER ELECTRIC LOW -VOLT ❑ - ALARM ❑ - AS BUILT ❑ FINAL Y Y IN.SP r mva(o� oo/r.-l-eCZ) rj-tez-h - �C� R APPROVALS QyE QR c� . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.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 February 17,2026 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 22 Rye Ridge Plaza, Rye Brook,New York 10573 Parcel ID#: 141.27-1-7 Demolition Permit#25-009 issued on 10/16/2025 to Demolish Existing Tenant Space This certifies that the existing tenant space, demolished under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BR 4. J A to VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.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 February 17,2026 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 22 Rye Ridge Plaza, Rye Brook,New York 10573 Parcel ID#: 141.27-1-7 This document certifies that the work done under Mechanical Permit #26-007 issued on 1/9/2026 for the modifications to the existing ductwork has been satisfactorily completed. Sincerely, *;- 4 Steven E. Fews Building&Fire Inspector /to BUILD MENT For office use only: PERMIT# Dj2j,, —�jCj(j FAN 2 6 2026J VIL OF RYE OK ISSUED: 9 8 KING STRE YE BROOK, YORK 10573 DATE: VILLAGE O! i:'r 8RCOK 9 -0 OY FEE: (P —]�PAtD BUILDIi1G D�P:�;h I P./�CPJT 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 siiittstt«st*ss**s**i««wiitstss*s*tssss*ti*itrt*titsttsssts*ssi*ss*siwitst*t*t**tss*st*isisss«*t*tsssisiisisi«is*s***swt*isiii Address: 22 Rye Ridge Plaza Occupancy/Use: CO 01 Parcel ID#: L4 1 . ,9-7— -7 Zone: — Owner: Win Ridge Realty,LLC Address: 24 Rye Ridge Plaza P.E./R.A. or Contractor: Dectech Mechanical Corp Address: 340 Saw Mill River Rd,Yonkers,NY,10701 Person in responsible charge: Daniel McElhatton Address: 67 Hilltop Acres,Yonkers,NY 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: Daniel McElhatton being duly sworn,deposes and says that he/she resides at 67 Hilltop Acres (Print Name of Applicant) (No.and Street) in Yonkers in the County of Westchester in the State of NY that (Cityrrown/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:$ Y,)i OOO 00 for the construction or alteration of: D6 •N o w-5 a �Ce 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.okf the Code of the Village of Rye Brook. Sworn to before me this p Sworn to before me this day of d�i(L"r<�tG�ti , 20 Z� day of b�1 � � 20 Signatur of Prope r AGENT Signature of Applicant D X," �1J I.15�-1 4 D�AN.EL P-V-E C tK r%-111 Print Name of PropZ AGENT Print me of A p&icat f ^n a,y PublicNotary Public IV ` ALINA NAKANJIN [my TARY PUBLIC,STATE OF NEW YORK Al MA MA Registration No.01NA0013645 NOTARYPUSI.IC,STATEOFIMVM ualified in Westchester Count yy "91ra"a No.g1NA641SNS Commission Expires 911912021 Ose M*d la WestcfloesW CosMtr 1)Mli Qie BR(Zj,�. O`` tim '9a2 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 Eyebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT* U 1 ISSUED: �6' Z1 SECT: 7 BLOCK: LOT:_ LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... a ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS /} 7 V U ( `l ti ❑ L.P. GAS ❑ FUEL TANK / ❑ FIRE SPRINKLER 4 ( ,I FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER\ O104 W +�' cc A, 4cn W ►�i O w W INN O * w o 0 .014 A o -0 9 cn V vto 24 r � c� Q Q o z o a I � � o . " cc"), U V d F R, a A a :) V I� 00 1.4 w G1 Q/ w W. ] .0 y O 5: b r W A �+ Z W oz w I�1 W z o o ff ,v3 � S. u x = O U O HB 'o 'm �I BUILDING DEPARTMENT VILLAGE OF RYE BROOK I 938 KING STREET RYE BROOK,NY 10573 CC,j - 9 2025 (914)939-0668 www.rvebrookny.gov VILLAGE OF RYF BROOK E'.t✓i1LC11��',^ C;=:FARTPfENT DEMOLITION PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: OCT 15 P l #: Application Fee: $ Approval Signature: Permit Fees:$ Disapproved: Other: *filed via Cloudpermit on 10/6/25* Application dated: 10/8/25 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 an existing building,or for a change in use,as per detailed statement described below. I. Job Address: 22 Rye Ridge Plaza SBL: )41 •3-7—'�Zone: CI — 2. Proposed Demolition.(Describe in detail): Remove interior partitions and doors up to existing ceiling system.acoustical tiles to be replaced (existing acoustical grid to remain).Remove carpet and VCT.Remove any furniture and fixtures from previous tenant.patch and repair floor,ceiling and walls. 3. Property Owner: Win Ridge Realty,LLC Address: 24 Rye Ridge Plaza Phone#914-701-4005 Cell# email: ahakanjin@winridge.com Applicant: Daniel McElhatton Address: 67 Hilltop Acres,Yonkers,NY Phone#914-349-3323 Cell#914-316-3209 email:daniel.mcem@gmail.com Arch itect/Engineer: Address: Phone# Cell# email: General Contractor: DECTECH MECHANICAL CORP Address: 340 Saw Mill River Rd,Yonkers.NY,10701 Phone#914-349-3323 Cell#914-349-3323 email: dectechny@gmail.com 4. Estimated cost of construction $43,000.00 (NOTE. The estimated cost shall include all labor.material,scaffolding,fixed equipment,professional fees,and material and labor which mac be donated gratis l 5. Type of construction:(wood frame,masonry,steel,etc...) Masonry 6. Method(s)of Demolition: By hand 7. Number&Location of Fuel Oil Tanks to be Removed: N/A 8. Number of Stories: 1 Height to Highest Ridge: To Highest Chimney: 9. Estimated date of completion: November 11,2025 1 6/1/2024 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: Daniel McElhatton ,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 Contractor 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. th 0 Sworn to before me this � Sworn to before me this dr day of �Lrul:C , 20 Z5� day of � �� , 20 at a of PropeIx AGENT Signature of Applicant David English Daniel McElhatton Pr t e of Pro er AGENT Prin N e of App ica t Nota_ly Public Wotary Public AMMA NAKANAM AMA NAKANM NOTARY iU@M STATE OF NEW YORK NOTARY PUKE.STATE OF NEIN YORK Registration No.01NAO013645 Ryistrstion No.O/NAOO13645 Qu lised in Westchester County OualiMa in wsstcAsstw County E My Conlssfon Es 911//26tT 6'1/_u 4 B U I ENT VILLA K OF RjBR .(*U , P,OOK 938 KING Sj-' ET RYE NY 10573 JAN 0 5 2626 www, a ok ov FOR OFFICE USE ONLY: Approval Date: Pe it# Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: ! Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Amendment Fee: Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: 12.31.2025 is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. lob Address:22 Rye Ridge Plaza Existing Permit#: RB25-0049 2. Parcel ID#1 141.27-17 Zone: C1-P Original Approval Date: 10/15/2025 3. Proposed Amendment(Describe in detail). Grid ceilings with acoustical tiles exist througohut space except 1 room with GWB ceiling. This ceiling was removed and the original application called for repairs to match existing grid. This detail has been removed as new tenant will demo ceiling in its entirety.Ceiling Repairs are removed from scope. 4. Property Owner: Win Ridge Realty LLC Address: 24 Rye Ridge Plaza, Rye Brook NY 10573 Phone#9147014005 Cell# e-mail ahakanjin@winridge.com Applicant: Dectech Mechanical Corp. Address: 340 Saw Mill River Road, Yonkers NY 10701 Phone# 9143493323 Cell# e-mail dectechny@gmail.com Architect/Engmeer: Jeffrey Taylor Architects Address: 572 North Broadway, White Plains, New York 10603 Phone#9142890011 Cell# e-mail jt@taylorarchitects.com 5. Occupancy;(I-Fam.,2-Fam.,Comm.,etc...)Prior to construction:Commercial After construction:Commercial 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No: x (if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No: x Area: t 6/1/2024 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: " (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: X (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: X (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: X (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: X (if yes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X If yes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure,and if so, provide such additional footage here. No (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ 0 (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y. State Construction Classification: N.Y. State Use Classification: 17. Estimated date of completion: 1.8.2026 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also 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: Daniel McElhatton ,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 General Contractor 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 5 Sworn to before me this S-T day of N , 20 ZS day of UIly , 20�_ i i of Prope -Q } Sirdtute of ppl ca t tp �u Daniel McElhatton Print Name of Property4)wffff Print Name f Applicant - Notary Public Notary Pub is , 2 M �1� ALf NA NAKANJIN Now NA#�I"Is11 I NOTARY PURIC,STATE OF 11Ex YORK R �~�'SMft/r R• istrationNo.O1NA0013645�r 0� � M rM.tmi6n Fawfes 911912027 6/l/2024 s 0 ' �Q w Cy ON N .d s Ono oC H � n 7 � G. ►.� cr. 0 x ell r" x ' a o _ v A H 'n , 1 1-/ I V N C E t!� W r x = C eq z O 1 w Q Z a s f to c ►.� x r ZZ z Li 0 -4 ' cn r. N � Ez .� PI � s a goo goa4a$44gotVI4 44Uto 44044649 +a4*A*Atto*Agoes 7 BUILDING DEPARTMENT VIL E OF RYE BROOK 938 KrNq ET RYE B E ,NY 10573 WWW:tg0lZily.LrOV ELECTRICAL PERMI1.APPLICATION Westchester County;Mastt�etlectricians License Required FOR OFFICE USE ONLY P#: — 0an. F,P#: 2Lp -- o [c) Approval Date: BAN 2 2 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 and/or Vemove 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, Federal, State,County and Local Codes. 1.Address: LZ' 66 &M W PUJTit'l SBL: 1`f 1 • 2� -' l Zone:C L 2.Property Owner: WIM ,/�W���tt���, tabM I C Address: A 06 �Mt w Phone#: qH(- 10I i `S" Cell#: email: .13t1, Adm-rJ% (.,c 3'�e. H,,ari;:,,riv 3.Master Electrician/Licensed Installer: D c"J ,-t i ).- m h Address: low Lic.#:Lj Phone#:{'l t 'l1 Q10 Otd'S Cell#: LI S I - 1 1 Si email: off,rc w k A e:u, NeT— Company Name: Power A4 G ner by c u- vo Address: C Ll (rt z,,,A s ar«t tM k rn % yV Y I 0 ;y j 4.Proposed Electrical Work/Fixture Count: f) P m o n G i e( tr,c w y I t 5.31 Party Electrical Inspection Agency: CN LA) Z S S MI STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 06 IVY SOMN '1 ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the for the legal owner and is duly authorized to make and file this application. (Master Electrician;Licensed installer) The undersigned further states 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 t before me tl 's 5 Sworn to before me this 14 20 _ day of f1 ycol jZP/►' ,20 /�-_y Sign re of Pro erty Guar=- Signature of Applicant Pr' ame of r p Oauaer. PrintNanje of Applicant Cedric St.Louis � Commission Ol ST0028001 of y ut,I ALINA MMAWM, Notary Public,State of New YoNotary Public NOTARY pUMX,STATE OF NEW YORK RegistratinrN,� 01HW'3645 My Commission Expires08-16-2028 6/l/2024 C:,a .' :i WestcnesterCount Gomm STATE WIDE INSPECTION SERVICES, INC. Service With litlegrily 0:0 • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate # City/Village K Zip Building Dept. County Address Cross Street Section Block Lot e Owner Name/Address(1f different than above) Contact Number ❑Basement ❑ 1st FI. �d FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑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 Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation Qor 01 ID t n'1er. b' (r4L \� tc t c.la.0 , This application is valid for one(1)year from 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 installed,you 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. Email Address �o .R� a'1 Name License# Date �! 6 Signature Address ` 7 1 City/State Zip Code Company »Q, a �� Phone# State Wide Inspection Services 1080 Main Street I 1� RECEIVED l Fishkill, NY 12524 TO' U u u 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office(a)swisny.com VILLAGE OF RYE BROOK Website: www.swisny.com Service With /ntegrity BUILDING DEPARTMENT BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Power and Energy Corp Win Ridge Realty 114 Pearl Street,Suite 1A 24 Rye Ridge Plaz Port Chester, NY 10573 Rye Brook NY 10573 Located at:22 Rye Ridge Plaza, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 26-010 141.27 1 7 Certificate Number: 2026-0740 Building Permit Number: DP 25-010 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: 22 Rye Ridge Plaza, Rye Brook, NY 10573 The Exterior was inspected in accordance with the NYS and NFPA 70-2023 and the detail of the installation,as set forth below,was found to be in compliance on the 51h day of February 2026. Name Quantity Rating Circuit Type Demolition-Removal of All Electrical and Associated Electrical Wiring in Interior Walls u Officer: Frank 1. 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. C N > o 1 a N oY O ' ❑ ❑ v +� T u Z 7 T u O 014 QLcri v c = w bD �J E N O -0 i -0 v LL Cb > w Z O b0 n' a W �j t^ �o v W Z U-) ° m 0 ~ LL co Qj x Z ~ ar > Q v ui J -0 c -� •— W V) r_._ _•— va _ M= � W y j roa w Z N N w r Y 7 0 N Z) O o0 2v) d 0� Z 3 o >N a O N w ° Y QOa o Z wU - ° , tu � E c c �o E O w o U ) 00 0 UZcMU � 9 °c�CJ �• °� O Z w > 3 , tca m ^ m uc=L3u ro } i W U0 tN D O Q T O L 3 o c T.g m � 3 c ago :tc Is LLI3 E O O > o Q a Ow0 U � � O U_ Q aQ _�- E o 0 H 0 O N w } d J Y ° v v v a mv) 0 U N v � Z cnd ZY � � Z C) w L o o ° WZM V � L Ow � NL � YF a U C � LoV Lu U -�0 (u a> N m � O �Li 00 � Z 0m a C) 0co CN Q u co a v QJ °N v) Q ° cn ° Q pa (uO .1 N O W UQ E m E J a +1 M c--1 = ou� N c = w v (6 0 m �o 4 O p `a c = 0 - . a V o O Z � > 2 j -Mm � v M m O w } vtn>. 3 o y U o� w o -o_ = o as EQ ° T_ L >- N a i m >, N O a O OO `� c C N = U Q:D CN ai x •> (U N c-i a QNa N o o t ° N ub� C� ' � vm = a vWo v o '.o acy a o E >000- Dp W � — V EU ° oF � .000EE .SEW YQR �k a to a .� � cz 'ao C' r W J W e a� ac a[ W _ O U H o •L ,n y mod, \C W Q Q Q > F- .L' U .�s Q a a ins vy �y BR�� VILLAGE OF RYE BROOK O� y � 938 King St Rye Brook NY 10573 .$ W { Phone:(914)939-0668 1 www.ryebrook.gov SOY 0 Building Department Commercial/Office Complex(Demolition) Permit Permit Set 22 RYE RIDGE PLAZA P#RB25-0049 R#141.27-17 PERMIT INFORMATION Address Permit number Date issued 22 RYE RIDGE PLAZA RB25-0049 12/11/2025 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Steven Fews stevefews@ryebrook.org INSTRUCTION AND ATTENTION It is the responsibility of the Applicant to print full size the entire approved permit package and provide at the time of inspection. TABLE OF CONTENTS Cover page 1 Building Permit 2 Required Inspections 3 Architectural drawing,Site plan 4 Application Materials,Plumbing License-Photo-Westchester County 5-7 Architectural drawing,Property Owner/Homeowner Government ID,and/or Proof of Ownership 8 Plumbing Permit Application 9 Building Department.938 King St Rye Brook,NY 10573/Phone:(914)939-0668 �y BRCv� VILLAGE OF RYE BROOK 938 King St Rye Brook,NY 10573 W � OY Phone:(914)939-0668 1 www.ryebrook.gov -a ��• 1 �2 • f Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQU IRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE 0 REQUIRED INSPECTIONS Name Description Final Inspection Completion of all required items under the permit including the site grading and the surveyor's final grading certificate. Certificate of Occupancy Completion of ALL Work,All fees Paid and Final Survey in if required) BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STRFf:T RYE BROOK,NY 10573 (914)939-0668 www�ebrookny,uov PLUMBING PERMIT APPLICATION O,Y-. . FOR OFFICE I'SE ONIA PP#: :approval Date: Permit Fee: S 1 1"z7 - Q� Appro%al Signature: Disapproved: (fees are non-refundable) DO NO I S I %R 111 f)RK or( O\S 1 RI ( I It)\ t \1 11 k PERM I 1 II VS BF \ 1-%1 11) It 'I'll E Bl ILI)ING \SPE(A0R. H I I kD\11\IsI R%1 I E: FE L I,0I4 \\ORK 11ROGRLSSED Olt( ()\IPI I 1 F1)NN f1 HOL"I PER\1I I IS 12"1.,OF I'llE: 1'Ol.0 ( OS f OF('ON%f l(t CTIO\ \%IT11 A NII\INII N1 I FI OF V50.00 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 o 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 applicable Federal,State,County and Local Codes. DD � L.Address: 2'?, 1 pp'16— h 1 u i t SBL: Zone:_ 2.Proposed Work: 3.Property Owner: rp"TO G Address: ��!V(�tC Phone#: �{'yI1 �y Cell n: email: Mak-A W �(r, Gm 4.Master Plumber: N/4,k/4 f CG�-r O jq,, , Address: 3;?.Z A-/e 22f 6--� Lic.#: /6 72 Phone#: S/N- /JZ-Vv7 Cell #: email: L G t's�( u i� Mar Letit Company Name: Ce. 64/l I/ n4,W, P11, ,r( �11KI,yAddress: .2 9 9 J� S F �s f.�+� if/ /i1r3 E INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOI.LO%%ING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry T Donx•stic Fire Sanitary Natural, Other* Total Closets Fountains Pubs Tubs Service Service I Sewer LP Gas Basement 1 st Floor 2nd Floor 3n0 Floor 4"Floor 5'Floor Exterior f 5.' List Other Equipment Provide Details: R Q .1>�e • �� �.✓� i r _ (Notarized Signatures Required Next 2 Pages) .1. 6/1 rzo24 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: G�ip�l,S C..�tr�Q�arS ,being duly swom,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 pmethis m Sworn to before me this 01 day of e�,V'�f� 20 day of L _,20- Sign• re of Troterty 9wner, Signature of hcant •�' �eo�tlneh LAN I D F41,0JISVI ��— Print Name of 144criv/WR �— Prm Name of Applicant ' Notary Public - I Nolat\ PLIMIC ALENtHAKKANAN ALZ£NA NAKANJIN NOTARY PUBLIEW YORK NOTARY PUBt.IC,STATE OF NEW YORK Registratio013645 Registration No.01HA0O13645 Qualified in County Qualified in Westchester County�r Commiss11912027 ry Cormnifsion Expires 911912027 Tht, i,,: ltwp� :i completed in its entirety and must in:;ode the ii• i.0 cd signature(s)of the legal rnvner(s)of the subject property,and the applicant of record in the spaces provided. Applications not properly conipleted in its entirety an(L'or not properly signed ,hall be deemed null and void and will be returned to the applicant. -z- 6/1,2024 Plumbing Permit Application Village of Rye Brook 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information SBL: Zone: 141.27-17 Proposed Work: REMOVE AND CAP WASTE , VENT AND WATER FOR 9 FIXTURES. Indicate Fixtures&Lines to be installed as per the following schedule: 1st 2nd 3rd 4tiht OthergfWipment/Provide Details: FIXTURES Basement Floor Floor Floor Floor Floor Exterior Water Closets Urinals Drinking Fountains Sinks Showers Bath Tubs Laundry Tubs Domestic Service Fire Service Sanitary Sewer Natural/LP Gas Other* TOTAL Plumbing Permit Application,page 1/1 e• t t V t' O it \ \ y ee E H c c � a W tq en cn Lr) ON 0-4 rl M v M oo w 6 CWA r/ o•oc v u �1 F. f W x w °r4 o U.cr c a N z W uo �: A 0. � Q •r. u v ,r u t f, t f s z (x t : s s : t x : : a ¢ � ¢z z a t . t � s t ■ ■ i i a i� r Lrookn VILL ✓OFRBUI ING DEPJAN 0 5 �G2® 938 KING T YE73(914)939 APPLICATION FOR PERMIT TO INSTALL. MODIFY AND/OR REMOVE MECHANICAL EQUIPMENT OFFICE USE ONLY: I Permit#:LkQkp ^ ('X Building Inspector: Application Fee: Date of Approval: Permit Feeyl Bldg/Use Class: Res.( );Comm. ( ); DO NOT START W 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 is 9c**�:*x:t**�;kickk;�k:F is it is is h�r k:k:t is is t ie k et 9c Fk*h 9c**k**:tx*:k:F9r*:k 9c it it tlr k ie ie*ir�lr 4e*9c 9c is is*9r tk tk k k 9r k K k#*#k k k k k k REQUIREMENTS FOR RELEASE OF PERMIT: (A CERTIFICATE OF COMPLIANCE IS REQUIRED TO CLOSE OUT THIS PERMIT) 1. Properly Completed&Signed Application. 2. Payment of Application Fee: Residential=$100.00; Commercial =$250.00 (fees are non-refundable) 3. Site/Staging Plan as required by the Building Inspector. 4. Sealed Construction/Installation Documents&Specifications as required by the Building Inspector. 5. Copy of Licensed Contractor's Liability Insurance.(Village of Rye Brook must be listed as certificate holder) & Workers Compensation Insurance on a NYS Board form (Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 6. Payment of Permit Fee: Residential=$18.00/1000.00 of Construction/Materials Cost with a minimum fee of$150.00. Commercial=$25.00/1000.00 of Construction/Materials Cost with a minimum fee of$275.00. 7. Inspection by Building Department for removal and/or installation. (48 hour notice required) 8.Any electrical work requires a separate Electrical Permit and Electrical Inspection. 9.Any gas/plumbing work requires a separate Plumbing Permit and Plumbing Inspection. Application dated, �9 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for a permit for the installation,4diAcation,and/or removal of the specific Mechanical Equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with the approved plans,and with all applicable Local,County,State&Federal laws,codes,rules and regulations. ,p 1.Address: 22 PIC, t5D46 rigs SBL: 141' `�,, —1? Zone: C4 U 2.Property Owner:�� 1-1 of Amy, (t Address: Zf A- t A r�� Phone#: �p� p�� m 1,�'t Cell#:� ��y email: M / � �� ,w7 3.Contractor: C,t��l,� 111(L'{�hWj(A urp. Address: I I f I u P ►1 � &Fps Phone#: j4' A-33Z3 Cell#: email: 4. Scope of Work:New Installation( )•Replacement( )•Removal( )•Other( ) 5.Type of Equipment:f—EUISI S GO (7,(Cost .Location of Equipment: D' 22 KYL I-fP&C P m'�A' of Equipment including Installation Cost:$ Nz W if-V- -M 1�Q\)VnXiml * 1--vuh OvC'i 1n1G - 6/1/2024 r 9. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: X (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: X (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: X (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: X (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: X (if yes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X If yes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so, provide such additional footage here. N/A (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ 0 (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y. State Construction Classification: N.Y. State Use Classification: 17. Estimated date of completion: 1•8.2026 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer& signed by those professionals where indicated. It must also 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: Daniel McElhatton , 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 General Contractor 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 Sworn to before me this day of V U t , 20 day of 10 y n t`y , 20 r Zin e of PropCVty QIA'R@ � %gfiature of Applicant �f-IGur - Daniel McElhatton Printa of Pr p rty 9wrer P 'nt Name of Applicant I-PeA-t " otary Public Notary Public 2 ALIE ALENA NAKANX NA$'M OF IN NOTARY puK C,STATE Of NEW YM N R021 ty"enLIM o.GINFNEWYORK R• istrstion No.01NA00/7845 R�e�NttrWeA No.NNA9013NS ^uatifled NI Westchester coulMfty Gus iflsd in Westchester County omm 911SI3.22T my Commission ExOtns 9/1912027 6/1/2024 -Building Permit Check List &Zoning Anal sis OB & C ONLY Address: l SBL: Zone: se: Cont.Type: Other. Submittal Date: C Z, Revision Submittal Dates: Applicant: A Nature of Work S}_l li=3 L�� Ll �i C1 Reviews:ZBA T 15 PB: _ Other. OK ( FEES:Filing BP: \1 C/O: Legalization ( ) ( ) APP.: Date Stamped: Properly Signed: SBL Verified: Cross Connection: F.O.G.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO.:Long Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W MgmG: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current Archival: Sealed: Unacceptable ( ) ( ) PLANS:Date Stamped: Seale Copie/ Electronic Other. (�( � Workers Comp: Liability: Comp.Waiver. Other. ( ) ( ) Code 753#: Dated: N/A: ( ( ) HIGH-VOLTAGE ELECTRICAL:Plan: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plan: Permit N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plan: Permit H.W.I.C.:_Battery:_Other. PLUMBING Plan: Permit Nat.Gas: LP Gas: Grease Trap: Other. ( ( ) N/A Other. H.V.A.C.: Plan: Permit N/A Other. ( ) ( ) FUEL TANK Plan: Permit FUEL TYPE: Other. O O 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plan: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. _ ( ) ( ) Other. ( )ARB mtg.date: approval:- notes: ( )ZBA mtg.date: approval:- notes: ( )PB r tg.date: approval: _notes: REQUIRED EXISTLNG PROPOSED NOTES Area: Circe Fie: _ Front: Front Sides: Rear. F.A.R.: en S ace• Height: Stories: notes: ACOR" CERTIFICATE OF LIABILITY INSURANCE DATEIMMDD/vrvvl 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 NAME CONTACT Chaim Retek GNP Brokerage USA LLC an ISU Network Member PHONE 718 851 5400 FAX 5 Corporate Drive (A/C,No, Eatt:_ __— E-MAIL Central Valley NY 10917 ADDRESS:_service@gnpbr9keq B_com INSURERNIS)AFFORDWaCOVERAGE NAILS License# 1M961 INSURERA:Accelerant Spedatty Insurance Company-_ INSURED e r THE C-01 INSURER B GL-DecTech Mechanical Corp DBA Dectech Construction - 340 Saw Mill River RD INSURERC: Yonkers NY 1070' INSURER o 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 I'm ADDLi 1 1F — POLICY EFF POLICY EXP LTR TYFEOFINEURANCE INSID POLICY NUMBER MMVDDlYYYY MM/DD/VY'YY LSaITi A X COMI MICNLGENERALLIIIRRM Y Y S0072GLOO104-00 11 26,2024 11262025 EACH OCCURRENCE $1,000.000 15AMACE TO-MTM CWM54 ADE I X OCCUR PREMISES Loccur»_ $100.000 _---_-------- - ___-- MED EXPGone person) 11,000 PERSONAL&ADV INJURY 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S2,000,000 POLICY X JECT HOC -"PRODUCTS_COMP/OPAOG $2,000.000 OTHER 6 A AUTOMOBILELABNJTY S0072GLOO104-00 1126/2024 11/26/2025 MIN SIN LE LIMIT f 1 DDO DDD {Ee accident) ANY AUTO BODILY INJURY(Per Pefe0fl) 5 OWNED SCHEDULED BODILY INJURY(Per*gAileM S AUTOS ONLY AUTOS _ X HIRED X NON-OWNED PROPERTYDAMAGE S AUTOS ONLY ,- AUTOS ONLY (Per scodw) • A X UMBRELLALIAa X OCCUR S0072XS00048-00 11/27/2024 11/26/2025 EACH OCCURRENCE $5,000,000 4 �EXCEUUAa CLAIMS-MADE, AGGREGATE S Tom-- DED RETENTIONS S WORKERS COMPENSATIONPER TH- AND EMPLOYERS'LIABILITY YIN TA ANYPROPRIETCR,PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT M I OFFICER' EMBER EXCLUDED "- "---"-"--"""------- (Mandatory in NMI E.L.DISEASE-EA EMPLOYEE S If yes,dew,oe ender -- DESCRIPTION OF OPERATIONS allow E.L.DISEASE-POLICY LIMIT I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional RenuAa Schedule,mey be aUach d if more apace 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 41 n 1988-2015 ACORD CORPORATION. All rights reserved- ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1�� NYSIF New York State Insurance Fund PO Box 66699,Albany.NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ^A^^^A 853671400 41- GNP BROKERAGE 2001 57TH ST i BROOKLYN NY 112C4 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 310920 06.02i2025 TO 06/02/2026 7.1 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. 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