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Home My WebLink AboutRB25-0021VILLAGE OF RYE BROOK - BUILDING DEPARTMENT 938 KING STREET - RYE BROOK, NY (914)939-0668 1 www.ryebrook.org Commercial / Interior (Remodel/Renovation) Permit PERMIT #: RB 25-0021 ISSUED: 09/17/2025 ADDRESS: BOWMAN AVE (12 A RYE RIDGE PLAZA PARCEL ID #: 141.27-1-7 PARTIES: Applicant, Property owner, Tenant Property owner Spear Associates Parnters, LLCWIN RIDGE REALTY, LLC Jason Hutcherson Alena Hakanjin 102 Madison Ave 24 Rye Ridge Plaza New York, NY 10016 Rye Brook, NY 10573 EXPIRES: 09/17/2026 NOTICE 1. THIS MUST BE CONSPICUOUSLY POSTED2.ACOPY FIT THE PROVEEDPLANSMU TBEEKEPTOTNTHE SITE. BSITE. Hours of Operation of Construction Equipment/ Village Code §158-4: WEEKDAYS - 8:00am to 6:00pm or dusk, whichever is earlier; SATURDAYS - 9:00am to 4:00pm; - SUNDAYS & HOLIDAYS -No Construction Activity Allowed This permit is valid for a period not to exceed twelve (12) months from the date of issuance, and covers only that work listed above. Separate permits are required for any electrical, plumbing, fire suppression, fire/smoke/carbon monoxide detectors/alarms, or any other work not covered under this permit. The approved plans must be kept on the job site & be made available for review by the Building Department upon demand. Any amendments or changes to the approved plans must be designed by your architect/engineer and submitted to the Building Department for review and approval prior to performing the work. Steven E. Fews - Building & Fire Inspector #R,Interior Building Permit ApplicationVillage of Rye Brook 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 www.ryebrook.gov Building Department Project Information SBL Zone 12 A Rye Ridge Plaza 141. 27.1. 7. C1-P Proposed Improvement Interior demolition of non load bearing walls and finishes within an existing tenant suite. No change in occupancy, use, or services. New entry door will be created in existing storefront area to increase access and egress as shown on the attached plans. Use will be for outpatient physical therapy office. Does the proposed project involve a Home -Occupation as per §250-38 of Village Code? ❑ Yes 0 No Will the proposed project require the installation of a new, or (if yes, applicant must submit a separate Automatic Fire an extension/modification to an existing automatic fire Suppression System Permit application & 2 sets of detailed suppression system? (Fire Sprinkler, ANSL System, FM-200 engineered plans) System, Type I Hood, etc...) 0 Yes ❑ No N.Y. State Construction Classification N.Y. State Use Classification Occupancy Pre -Construction Business Clinic outpatient Occupancy Post -Construction 0 fam., 2 fam., comm., etc...) VB What is the total estimated cost of construction: (NOTE: The estimated cost shall include all labor, material, 450000 USD scaffolding, fixed equipment, professional fees, and material and labor which may be donated gratis.) Interior Building Permit Application, page 1 / 1 �yE 6Rnv� VILLAGE OF RYE BROOK F 2m 938 King St Rye Brook, NY 10573 W Phone: (914)939-0668 1 vmw.ryebrook.gov >�• �O� Building Department 1962 ' Commercial / Interior (Remodel/Renovation) Permit Permit Set BOWMAN AVE (12 A RYE RIDGE PLAZA P# RB 25-0021 R# 141.27-1-7 PERMIT INFORMATION Address Permit number BOWMAN AVE (12 A RYE RIDGE PLAZA RB 25-0021 REVIEWED BY If you have any questions regarding the review of these drawings please contact: Application in general Steven Fews stevefews@ryebrook.org INSTRUCTION ANDATTENTION Date issued 09/17/2025 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 Energy efficiency design summary 4-8 Building Inspector Stamped & Signed Set of Plans 9 Application Materials 10-13 Application Materials 14-15 Interior Building Permit Application 16 Building Department. 938 King St Rye Brook, NY 10573 / Phone: (914)939-0668 VILLAGE OF RYE BROOK 938 King St Rye Brook, NY 10573 Phone: (914)939-0668 1 w ..ryebrook.gov Building Department INSTRUCTIONS THE PERMIT HOLDER AND/OR PROPERTY OWNER IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED/APPLICABLE INSPECTIONS ARE SCHEDULED AND THAT THE PERMIT IS COMPLETE INSPECTIONS Name Rough Electric Description Rough Electric Rough plumbing Installation of all plumbing including drains,waste, vents and water supply lines. Atestfor this portion is required including a 100 psi test on all water supply lines. Framing Construction of all structural framing and stairs. (Rough Plumbingand Heating passed and doors, windows & roofing installed.) Engineered drawings must be provided for roof trusses. Final Electric Final Electric Certificate of Occupancy Completion of ALL Work. Electric HVAC, Plumbing Etc. Occupancy Certificate it required) Final Inspection Completion of all required items underthe permit includingthe sitegradingand the surveyor'sfinal grading certificate. COMcheck Software Version COMcheckWeb Interior Lighting Compliance Certificate Project Information Energy Code: 2020 New York State Energy Conservation Construction Code Project Title: Spear Physical Therapy - Rye Ridge, NY Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor: 142 S Ridge St, Ste 12A Ashim Ray Rye Brook, New York 10573-2813 1827 Powers Ferry Road SE, Building 20, Suite 100 Atlanta, Georgia 30339 770-953-1443 Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed (ft2) Watts / ft2 Watts 1-Health Care -Clinic 1611 0.82 1321 Total Allowed Watts = 1321 Proposed Interior Lighting Power A B C D E Fixture ID : Description / Lamp / Wattage Per Lamp / Ballast Lamps/ # of Fixture (C X D) Fixture Fixture Watt. Health Care -Clinic (1611 sa.ft.) LED: Bl: Downlight: Other: 1 7 35 245 LED: B2: Downlight: Other: 1 5 23 115 LED: D: Mirror Sconce: Other: 1 1 18 18 LED: D2: Tape Light: Other: 1 1 252 252 LED: Cl: Wallwash Light: Other: 1 3 35 105 LED: GI: Wall Sconce: Other: 1 1 20 20 LED: Ll: 2X2: Other: 1 1 36 36 LED: T: T-Bar Light: Other: 1 12 20 240 Total Proposed Watts = 1031 Interior Lighting Compliance OF NEW Statement �P�� MM K a o9 Compliance Statement: The proposed interior lighting alteratio I 2pre flte i his document is consistent with the building plans, specifications, and other calculations submitted i t- ' i applic t n. The proposed interior lighting systems have been designed to meet the 2020 New York Stat ergy 'on C truction Code requirements in COMcheck Version COMcheckWeb and to comply with any app ble requi ents listed in the Inspection Checklist. Ashim K. Ray - Electrical Engineer 07/11/25 Project Title: Spear Physical Therapy - Rye Ridge, NY Report date: 07/10/25 Data filename: Page 1 of 5 COMcheck Software Version COMcheckWeb Inspection Checklist Energy Code: 2020 New York State Energy Conservation Construction Code Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Plan Review I Complies? I Comments/Assumptions C103.2 Plans, specifications, and/or ;IJComplies :Requirement will be met. [PR4)1 (calculations provide all information❑Does Not, with which compliance can be determined for the interior lighting ❑Not Observable', ❑Not Applicable and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations, wattage of bulbs and ballasts, transformers and control devices. Additional Comments/Assumptions: 111 High Impact (Tier 1) A Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: Spear Physical Therapy - Rye Ridge, NY Data filename: Report date: 07/10/25 Page 2 of 5 Section # Rough -In Electrical Inspection Complies? Comments/Assumptions & Re .ID C405.2.2. Spaces required to have light- I❑Complies :Requirement will be met. 2 reduction controls have a manual ❑Does Not [EL2211 control that allows the occupant to ❑Not Observable reduce the connected lighting load in ❑Not Applicable a reasonably uniform illumination pattern >= 50 percent. C405.2.1, Occupancy sensors installed in ❑Complies I Requirement will be met. C405.2.1. classrooms/lecture/training rooms, ❑Does Not 1 conference/meeting/multipurpose ❑Not Observable', [EL18]1 rooms, copy/print rooms, ❑Not Applicable lounges/breakrooms, enclosed offices, open plan office areas, restrooms, storage rooms, locker rooms, warehouse storage areas, and other spaces a= 300 sgft that are enclosed by floor -to -ceiling height partitions. Reference section language C405.2.1.2 for control function in, warehouses and section C405.2.1.3 for open plan office spaces. C405.2.1. Occupancy sensors control function in❑Complies Exception: Requirement does not apply. 2 warehouses: In warehouses, the ❑Does Not [EL1911 lighting in aisleways and open areas is:;❑Not Observable', controlled with occupant sensors that Applicable automatically reduce lighting power ;❑Not by 50% or more when the areas are unoccupied. The occupant sensors control lighting in each aisleway independently and do not control lighting beyond the aisleway being controlled by the sensor. C405.2.1. Occupant sensor control function in ❑Complies Exception: Requirement does not apply. 3 open plan office areas: Occupant ❑Does Not [EL2011 sensor controls in open office spaces rvabl ervabl [_-]Not Observable >= 300 sq.ft. have controls 1) configured so that general lighting can ❑Not Applicable be controlled separately in control zones with floor areas a= 600 sq.ft. within the space, 2) automatically turn off general lighting in all control zones within 20 minutes after all occupants have left the space, 3) are configured so that general lighting power in each control zone is reduced by >= 80% of the full zone general lighting power within 20 minutes of all occupants leaving that control zone, and 4) are configured such that any daylight responsive control will activate space general lighting or control zone general lighting only when occupancy for the same area is detected. C405.2.2, Each area not served by occupancy ❑Complies Exception: Areas such as security or emergency areas that C405.2.2. sensors (per C405.2.1) have time- ❑Does Not need continuous lighting. 1, switch controls and functions detailed ❑Not Observable', C405.2.2. in sections C405.2.2.1 and C405.2.2.2. ❑Not Applicable 2 [EL21]2 111 High Impact (Tier 1) A Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: Spear Physical Therapy - Rye Ridge, NY Report date: 07/10/25 Data filename: Page 3 of 5 Section # Rough -In Electrical Inspection Complies? Comments/Assumptions & Re .ID C405.2.3, Daylight zones provided with I❑Complies Exception: Spaces where health patient care is directly C405.2.3. individual controls that control the ❑Does Not provided. 1, lights independent of general area ❑Not Observable C405.2.3. lighting. See code section C405.2.3 ❑Not Applicable 2 Daylight -responsive controls for [EL23]2 applicable spaces, C405.2.3.1 Daylight , responsive control function and section C405.2.3.2 Sidelit zone. C405.2.4 I Separate lighting control devices for ❑Complies !Requirement will be met. [EL26]1 'specific uses installed per approved ❑Does Not lighting plans. ❑Not Observable ❑Not Applicable C405.2.4 Additional interior lighting power ❑Complies ,Requirement will be met. [EL27]1 allowed for special functions per the❑Does Not approved lighting plans and is ❑Not Observable automatically controlled and El Not Applicable separated from general lighting. C405.3 Exit signs do not exceed 5 watts per ❑Complies Requirement will be met. [EL6]1 face. ❑Does Not ❑Not Observable ', ❑Not Applicable �, Additional Comments/Assumptions: 111 High Impact (Tier 1) A Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: Spear Physical Therapy - Rye Ridge, NY Report date: 07/10/25 Data filename: Page 4 of 5 Section # Final Inspection Complies? Comments/Assumptions & Req.ID C303.3, Furnished O&M instructions for I❑Complies :Requirement will be met. C408.2.5. systems and equipment to the ❑Does Not 2 building owner or designated [-]Not Observable [FI17]3 'representative. ❑Not Applicable C405.4.1 Interior installed lamp and fixture ❑Complies ',See the Interior Lighting fixture schedule for values. [FI18]1 lighting power is consistent with what ❑Does Not is shown on the approved lighting ❑Not Observable', plans, demonstrating proposed watts ❑Not Applicable are less than or equal to allowed watts. C408.2.5. Furnished as -built drawings for ❑Complies Requirement will be met. 1 .electric power systems within 90 days❑Does Not [FI16]3 !of system acceptance. j❑Not Observable', ❑Not Applicable C408.3 1 Lighting systems have been tested to❑Complies ,Requirement will be met. [FI33]1 ensure proper calibration, adjustment, I❑Does Not programming, and operation. [-]Not Observable I El Not Applicable Additional Comments/Assumptions: 111 High Impact (Tier 1) A Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: Spear Physical Therapy - Rye Ridge, NY Report date: 07/10/25 Data filename: Page 5 of 5 WESTCHESTER - RYE RIDE PERMITS my THIS SET OF APPROVED PLANS MUST BE KEPT ON THE JOB SITE MECHANICAL PERMIT REQUIRED FIRE SUPPRESSION SYSTEM PERMIT REQUIRED SMOKE DETECTORS n T REQUIRED AS PER 1V i NYS BUILDING CODE COUNTY LICENSED PLUMBER REQUIRED TO FILE COUNTY LICENSED ELECTRICIAN REQUIRED TO FILE CONSTRUCTION DOCUMENTS V ILLA;OE OF RYE 001( 938 KINC STREET RYE BR pIQ, NY 10573 INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: Permit #: Application Fee: Approval Signature: Permit Fees: $_ Application dated: July 15, 2025 is hereby made to the Building[nspectorofthe Village of Rye Brook, NY, for the issuance ofaPermit for the interior alteration of an existing building, or for a change in use, as per detailed statement described below. 1. Job Address: 12A Rye Ridge Plz, Rye Brook, NY 10573-2820 SBL;14102700010070000000 Zone; CI-P 2. Proposed Improvement. (Describe in detail): Interior demolition of non load bearing walls and finishes within an existing tenant suite. No change to occupancy, use or services New entry door will be created in existing storefront area to increase access and egress as shown on the attached plans. Use will be for outpatient physical therapy office. 3. Does the proposed improvement involve a Home -Occupation as per §250-38 of the Code of the Village of Rye Brook? No: X Yes: _ If yes, indicate: TIER I: TIER IJ: TIER III: 4. Will the proposed project require the installation of a new, or an extension/modification to an existing automatic fire suppression system (Fire Sprinkler, ANSL System, FM-200 System, Type I Hood, etc...) : No: Yes: X (If yes, please submit a separate Automatic Fire Suppression System Permit application & 2 sets of detailed engineered plans) 5. Occupancy; (1 fain., 2 fam., comm., etc...) Prior to Construction: Commercial After Construction: Commercial 6. N.Y State Construction Classification: Business Group B N.Y. State Use Classification: Clinic outpatient 7. Property Ownerwin Ridge Realty, LLC - Alena HakanjinAddress: 24 Rye Ridge Plaza, Rye Brook, NY 10573 Phone # 914-701-4005 Cell # email: ahakanjin@winridge.com Spear Associates Partners, LLC - 8. Applicant: Jason Hutcherson Address: 102 Madison Ave, 8th Fl, New York, NY 10016 Phone # 646-973-5430 Cell # email: jhutcherson@spearcenter.com 9. Architect:Jason Hutcherson - in house for tenant Address: 102 Madison Ave, 8th FI, New York, NY 10016 Phone # 646-973-5430 Cell # email: jhutcherson@spearcenter.com ay roup onsu hng Engineers, inc. - 10. Engineer: Keith Mikulka Address: 1827 Powers Ferry Rd, Bldg 20, Ste 100, Atlanta, GA 30339 Phone # 770-953-1443 Cell # email: keithm@raygroup.net It. General Contractor: TBD Address: Phone # Cell # 12. Estimated cost of construction $ $450,000 (NOTE: The estimated cost shall include all labor, material, scaffolding, fixed equipment, professional fees, and material and labor which maybe donated gratis.) 13. Job Timetable: Start: 10/12/2025 Finish: 1 /16/2026 (1) 6/l/2024 VILLAGE OF RYE BROOK 938 KING "ET RYE BROOK. NY 10573 AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: I,DANE residing at, up, f-0TE FtRr'I (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; 12A Rye Ridge Piz, Rye Brook, NY 10573-2820 (Job Address) Rye Brook, NY. 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. uvzwr(s)) A(-0r (Print Name of Propertp Outer )) Sworn to before me this V 4& (2) 6nao2a This form must he properly eolupieted & notarized by the Design Professional of record and the Piviperty Owner, Failure to provide this completed form with your permit application will delay the permitting process. rtrtrtrtrtrtrtrtrtrtrt4�rtr•rtrtrtrtrtrtrt+rtrtrt��rtrtrtrtrtrtrtrtMrt Notice of Utilization of Truss Type, Pre -Engineered Wood, or Thuber Frame ('ouvlruction. (1•itis 19 Pan 1164 & 1265 NYCRR) 1w The Building Inspaetor of the Village of Rya Brook, E., Jason Hutcherson • Architect of Record - In house for Spear Associates Partners, LLC �q, t P k)pUV:I2A Rye RIdga Pit, Rye Brook NY 10579-0620SBL;14102700010070000000 Zone: CI'P Pirasr takr uoticr that flit, %ubjecti n One or Two Famllyl IS Commercial, o New Structure o Addition to an Existing Structure a Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; Nona 0 0 a In the following location(a); None .. .. =. �111;; Please note that prior to the Issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §u64 for Commercial Buildings, and NYCRR §u65 for One &Two Family Dwellings. ..A. M NJINa NEW VoNa A0011140ou.1111 Id 11 WO SIC yr,1119f20, Swom to before me this 15th ddayo( JUIY 2o25 Signature of Design Profcuional Jason Hutcherson nt mo of Design Prof tonal Notary Public TERESAL.BARRFZUETAA. Notary Public, Salo of NO York, 0) No.01BA6314824.' Qu lificd in Queens County Z I Commissmi) Expires November 17. 2ahfJ 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: Jason Hutcherson , being duly sworn, deposes and states that he/she is the applicant above named, (pnninameofindividual signing as the applicant) and further states that (s)hc is the legal owner of the property to which this application pertains, or that (s)he is the Architect of Record 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. _11�_ Sworn to before me this � day of 201�j S ignat of Propert7`evmer- A!. iijr a EHA NEWT bu. O1HA0017613 :. Neslehnbr County ,.a,on Expires 91191202 (4) Sworn to before me this 15th day of July 20 25 `b.co_ signature of Appl kart TERESA L. BARREZUETAA. Notary Public, State of New Yor4. No.01BA63148224 Qualified in Queens County My Commission Expires Noverni 17, 20V v T 611 t2O24 ,,DEPARTMENT OF RYE BROOK 938 KING $SET RYE BeooK, NY 10573 APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: Approval Date: BP#: Approval Signature: Disapproved: MP#: Other: Application Fee: Permit Fees: $ •�x�x��,r��.:.��x��aa��aa��:��s��a��a��.....��s�aa��+xx�.��axe��a��a��a�.�.��:t Application dated: July 15, 2025 is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit to install or modify a Fire Suppression/Fire Sprinkler System as per detailed statement described below. 1. Job Address: 12A Rye Ridge Plz, Rye Brook, NY 10573-2820 2. Parcel I.D.:141.27-1-6 Zone: C1-P Proposed Work (Describe system in detail including suppression agent): Interior demolition of non load bearing walls and finishes and new tenant walls and finishes added for new Sprinkler heads will be relocated or added as needed for new layout for proper coverage. Existing wet pipe system to remain and be modified as shown. 4. Number & Types of Fire Sprinkler Heads: 10 to remain. 7 to be added or relocated. 5. N.Y State Construction Classification: Commercial 6. Estimated Value of Job: $ $20,000 for Fire Sprinkler work. N.Y. State Use Classification: Business (Value shall include all labor, materials, fixed equipment, professional fees, and materials and labor which may be donated gratis.) 7. Property Owner: Win Ridge Realty, LLC - Alena Hakanjin Address: 24 Rye Ridge Plaza, Rye Brook, NY 10573 Phone # 914-701-4005 Cell # email: ahakanjin@winridge.com 8. Architect/Engineer:Jason Hutcherson - in house for tenant Address: 102 Madison Ave, 8th FI, New York, NY 10016 Phone # 646-973-5430 Cell # email: jutcherson@spearcenter.com flu SitF�Ptf�Stt irtlt t s9sia�5 1NC \, 9. Sprinkler Contractor: 4B3� eye"Twe WDEVMSfW-p B� Address: � t IJ'f %%A Phone # `a`I�� =3u 'S42 el —Cell # C(l4 41A email:77 51'P4�1� t�R@��FRENRuFCItaa 6nr2c24 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: Jason Hutcherson , being duly sworn, deposes and states that he/she is the applicant above named, (print name or individual signing as es applicant) and further states that (s)he is the Sprinkler 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 I n day of : UV /J20?,S— ignamre Property Gffi. PN(a/rJ /��f P/ro�peyrry(o a, bmO Public ALENA NAKANJO NOiARf tr11/UC, ITATE0/ NBe TOKA alai N0.01 NA113 alai Id Inwesttche, rcoe Sworn to before me this 15th day of July 2025 ignature of Applicant Jason Hutcherson purt of Applicant Nmary Pu TERESA L. BARREZU'ETA A. Notary Public, Stale of New York No.01BA6314824 Qualified in Queens County My Commission Expires November 17, 2015w el 611r2024