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HomeMy WebLinkAboutRye Ridge Deli Operating Permit 2026-2027 PIP o W �i ow S � AG� w � O O Ufa o az p w W � w a W Z � > ° off "Z � W � ^ • Ili � � 4 ° zd M A MM O � ox � � � o O ^ �+ Frei (♦J a w A u V � xoxa � C F W F• OF w A � Z a z w z C7 � � a � N AV J Q zo vi oz 04 A N N H A Q Z x O �o 1-9E" Q WWz (� E� a a W � z CA W M W V = z A U r: U CA 00 o � a w o w A " F a w ,.., •. W w � N W E ak(�k. w � waz BUILDING MAIARTMENT ❑It I.DING INSPE TOR ASSISTANT BUILI ING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCER ENT OFFICER 938 KING STREET • RYE BROOK, NY 10573 (914) 939-0668 FAx (914)939-5801 www.ryebro.ok.orl; - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - -- - - - - - - - - - - - AjmRi:ss : 1 Z_6 �c� S-9x�,�• DATE:- oft PERMIT# _. 1(� �"S '�',ISSUr.D:U----- SECT: �• Z7 BLOCK: l LOT: -6 LOCATION: l. t-Z _ _r OCCUPANCY: V ❑ VIOLATI N NOTI:U THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INS ECTION REQUIRED ❑ FOOTIN ❑ FOOTIN DRAINAGE ❑ FOUNDA ON ❑ UNDERG OUND PLUMBING No'TFS ON INSPECTION: ❑ ROUGH I LUMBING ❑ ROUGH I AMING ❑ INSULAT ON ^ � � / Q ❑ NATURA GAS �tl\ V/ -6 L j ❑ L.P. GAS ❑ FUEL TAilK. ❑ FIRE SPRINKLER D ❑ FINAL PI UMBING ❑ CROSS CONNECTION — ❑ FINAL OTHER BUILDi/ RTMENT Initial Inspection Date: ❑ Pass VILLA OF RY � tOOK / STEVEN E.FEWS 938 KING STR � ,RYE BROO INEW PORK 10573 BUILDING&FIRE INSPECTOR (914)0 8 ' WW 6rookn ov Re-Inspection Date: ❑ Pass sfews cAryebrookny.eov 19�7 ❑ Fail FIRE INSPECTION REPORT, NOTICE OF VIOLATION & ORDER TO REMEDY SAME Site Address: Z(e S- 1 c. 5 Zone:01-?SBL: 141 •27 — Y Occupancy: �I,jons Q� A - State Use Classification: Business Owner: _ IA P r rcA /M& L*s a Phone: 7 y y°O '�y 02 Building Owner: W t<a Q 1 0_4Q0..LX-k% LL C_. Phone: tg 1 y' 70 '�O Os' Emergency Contact: Sc.o l� /1�Ae 4 I,4 4 // Phone: '7 y �y y/i 2— Building Representative in Attendance: S to /R L1►A,2 ---------------------------------------------------------------------------------------------------------------------------------------------------- Take notice that the following violations of the New York State Unifo Fire Prev ntion Building Code and/or the Code of the Village of Rye Brook were found to exist at, le 1 in the Village of Rye Brook,NY on, N01/P.M%t& 1'> 20 .The Irerson or entity served with this Order to Remedy shall �mediately co ence to convect 1 listed violatt* s and shall completely cure each violation described herein by no later than GI.A'+� L,: 2 1 ,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&regulations. BE ADVISED THAT YOUR FAILURE TO CORRECT ALL VIOLATIONS IS A CRIME PUNISHABLE BY FINE,IMPRISONMENT OR BOTH. ---------------------------------------------------------------------------------------------------------------------------------------------------------- No YES N/A 1.PORTABLE FIRE EXTINGUISHERS (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. c._ �✓ _ f.906.9.Are PFE's properly installed:<40 lbs.max.5'above floor;>401bs.max.3.5'above floor. f. 2.FIRE ALARM SYSTEM&SMOKE DETECTORS 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. 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. b.901.6.1.Are the main valves secured against tampering in the open position. b. _✓ 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. e._ f.901.6.3.Are records of all system inspections,tests&maintenance reports maintained on the premises. f. l/ 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. 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: `—��� DATE: 1 Z^ 2 O 2,5� -I- Revised 6/1/2024 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. ,✓ c.912.2.3 Are standpipe FDC threads compatible with fire department standards. C. 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. C. _ _✓ f.912.2.1.Are exterior FDC's fully visible&recognizable from the point of fire department access. t ✓ 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. _ J b. 1031.3.Is the means of egress free from obstructions including accumulated ice&snow. b. c. 1031.6.Are exits maintained unobstructed by furnishings,decorations,draperies,mirrors,etc... C. / d. 1031.7.Are existing emergency escape&rescue openings maintained as per this section. d. .i e. 1031.10.Emergency lighting equipment inspection and testing. e. f. 1010.1.Are egress doors provided and maintained as required by this section. f. g. 1004.9.Are all spaces having an assembly occupancy posted with an approved occupant load sign. g. ✓ h. 1013.1.Are exits marked by a properly located,approved&readily visible exit sign. h. ✓ _ i. 1013.1.Is the maximum travel distance to any exit sign in an exit access corridor 100 feet or less. i. j. 1013.4.Are tactile exit signs complying with ICC/ANSI 117.1.provided as required by code. j. _ _✓ k. 1013.3.Are all exit signs illuminated at all times. k. 1.1008.1.Are the means of egress&exit discharge illuminated at all times the building is occupied. I. _ _✓ in. 1018.3.Are public aisles in group B&M occupancies maintained at least 36"wide where fixtures M. _ _✓ are placed on one side of the aisle&at 44"wide where fixtures are placed on both sides. n. 1018.3.Are non-public/non-accessible aisles serving less than 50 people maintained at least n. 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. &7;o"' 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 unf ised 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.)a _ INSPECTOR: O DATE: Z r -2- Revised 6/1/2024 No YEs N/A H.ELEVATORS,DUMBWAITERS&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. floors reading; IN FIRE EMERGENCY,Do NOT USE ELEVATOR,USE EXIT STAIRS 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. C. _ _✓ d.904.12.5.3.Are fusible links&automatic sprinkler heads replaced annually. d. _� e.[RBI 122-5.13.Are grease traps provided and installed as required by Village Code. C. _✓ f.[PC] 1003.10.[RBI 122-6.Are grease traps properly maintained as per State and Village Code. t _ _✓ 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. L/ b.[PM]603.2.Are all fuel-burning appliances&equipment connected to an approved chimney or vent. b. _ ✓ 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. e.[PM]603.5.Is the fuel-burning equipment provided with adequate combustion&ventilation air. e. _ Jl 11.MOTOR FUEL-DISPENSING FACILITIES&REPAIR GARAGES a.2303.2.Is an approved,labeled&readily accessible emergency disconnect switch provided a. _ le 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. _ _ 4 d.2305.5.Are approved portable fire extinguishers complying with Section 906 with a minimum raring of d. _ _ - 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. f.2305.7.Are weeds and other combustible materials kept at least 10'from fuel-handling equipment. f. 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. f. ✓ 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. h. i.5303.6.1.Are compressed gas cylinder caps or collars in place at all times except when tanks are in use. 1. — 14.GENERAL HODS CEEPING a.Good b.Fair c.Inadequate d.Poor INSPECTOR: DATE: Revised 6/1/2024 ITEM NUMBER REMARKS !G M owo x l ( 'V�zo a ^-% AnAGam• !C /•Vo / NS • iSG • �i Q LA �3 " o rdTbov fit' C - 12G l`l - f o 1>41e •tee e ok Q ` INSPECTOR: >L DATE: 112 ' 20 ZJ Rmv d 6/1/2024 Grease Trap Cleaning and Maintenance Log Facility Name:Grease Trap Care Mark B. 203-803-9911 Required Cleaning Freguency: Grease Trap Care Location:Norwalk CT DATE, CLEANED 13Y VOLUME OFGREASE DISPOSAL MANAGER'S COMMENTS REMOVED LOCATION SIGNATURE Zt% Nar mo P40 IN'Ll ill telmn cc Log nuist be kept on site and retained on file lbr 3 years Fire Drill Log Book Day lur1 Date ////O/Y � January 4, 2013 All employees were instructed In case of a fire or other emergency where the facility has to be evacuated to leave the facility and gather together outside in front of Starbucks so all employees can be accounte or. zeyl S' t/D�I�7i C7 -7Qvay 5,�IfI4'/T� �� UGi�S Go TlD HOODZ of Connecticut 145 OLD WATERBURY RD Terryville,CT 06786 United States HOODZ tim.benson(a�hoodz.us.com Phone:2032928010 www.hoodzinternational.com Invoice #: 977609 National Account ID:1906030 Invoice Date:9/6/2025 1 Due:9/6/2025 Payment Terms: Due Upon Receipt WO Finish Date:9/5/2025 WO k:969623 BILL TO LOCATION INFORMATION Rye Ridge Deli Rye Ridge Deli-Rye Brook Rye Ridge Deli-Stamford 126 South Ridge Street 1087 High Ridge Rd Rye Brook,NY 10573 Stamford,CT 06905 Phone:(203)322-4449 SERVICES Item Name&Description Quantity Rate Line Total CL-KECPrime:90 Day KES Clean Rye-90 Day Clean Kitchen Exhaust System (Primary) 1 $585.00 $585.00 CL-KECSec:90 Day KES Clean Rye-90 Day 1 $275.00 $275.00 Clean Kitchen Exhaust System (Secondary) MI-Fuel:90 Day KES Clean Rye-90 Day 1 $25.75 $25.75 Fuel Charge Subtotal: $885.75 Tax(6.35%): $56.25 Total: $942.00 Balance Due: $942.00 All H00D2'offices are independently owned and operated. 1 of 1 ldkt v � �` 16� Pre-Engineered System Inspection Report 494 Bridgeport Ave.,Suite 101,#314 Shelton,CT 06484 Date of Service: (S 2 Time: OFFICE:(203)767-6147 EMAIL:info@valleyfireprotectionlic.com Annual/ mi-Ann /Recharge/New Sys __ ovation(circle one) Customerlocaflon � �^ � System Information 6 Name: SLR Make: 'Cv. S u Address: I _ Sow Yzi CG1�P / Model: 6 2 City ST,Zip ( 1 r'00 K f jv e-C;r l/$f IC� Size: (� q,!_J.,(_- Phone: It_t— �j 60- C1 iL Control Head: �}'[a kv14 Owner/Manager �coc� A Y k [Location of System: 11w Yes No NIA Yes No NIA 1 System interlocked with building fire alarm. 14 Checked operation of manual release. 2 All tamper seals Intact. No evidence of tampering. / 15 Piping obstruction testing per NAPA-17A Date l 3 All appliances property covered with nozzles. / 16 Checked operation of gas valve.&,1./ELEC.) ct 4 Duct(s)&plenum property covered w/corre nozzles 17 Pipe/conduit securely bracketed.. � / 5 Hood/duct penetrations property sealed. 18 Nozzles cleaned. l 6 Grease accumulation excessive ❑ heavy []i normal 19 Proper nozzle caps/covers in place. tatty Al{ 7 Pressure gauge in acceptable range / 20 Exhaust fan in operating condition. 8 Checked cartridge weight / 21 System operational 8 armed. / 9 Cylinder with hydrotest date Due 2b1v Z6 Zo ( 22 Fan warning sign on hood. / 10 Inspected cylinder and mount I 23 K-Class fire extinguisher in cooking area. 24 Personnel instructed on manual operation of system 11 Checked operation of detection line M 12#I of Fusible rinks 3,60 n_tL4500 500° OTHER( o) 25 Filters compliant with NFPA95 13 Replaced fusible links. t� 26 System meets U.L.300 standards. Cooking Appliances(left to right): 2 _ F I-� ✓ , C Ct c�c`_ 1 Q , 12k r, J r7 /,} Safety Notice: Non-compliant systems may fall to axtlnaulsh%supsess a fire. Below are eon compliant conditions which require Immediate attentloe. Valley Fire Protection assumes no responsibility for system perforasance if ttsese cood Wass are not corrected ead/or rerHied by an avthorixed aunt of Valley Fire Protection. Comments/Non-Compliance: Hood Size: Hood Cl! d Last: Extg. �� (� z� Valley Fire Protection Agent: Date: 2O Customer Authorized Agent: Date: C1 ' �� 'Z D-L 772 MOO N FPAS Customer Acknowledgment and UL-300 Safety Alert on Reverse-Rev. OM8-2004 i VALLEY FIRE PROTECTION 494 BRIDGEPORT AVENUE,SUITE 101,PMB 314,SHELTON,CT 06484 OFFICE: (203)767-6147 EMAIL:info@valleyfireprotectionilc.00m WEB: valley ireprotectionllc.00m Customer Acknowledgement and UL-300 Safety Alert on Reverse-Rev.06-08-2004 CUSTOMER ACKNOWLEDGEMENT The customer acknowledges that any inspection of a customer's fire equipment by Valley Fire Protection (VFP) is limited to identification of deficiencies that may impede or hamper the intended function of the equipment and that VFP is not responsible for, nor capable of, identifying by inspection, every defect that may adversely affect the system's performance, particularly those defects of a latent nature, defects or omissions related to the manufacturer's design and instructions or defects which exist in inaccessible areas of the system, whether or not such defect's existence could have been determined by inspection had the area been accessible at the time of inspection. The customer further acknowledges that it is beyond VFP'S ability to determine with any degree of certainty whether any fire equipment is capable of extinguishing any fire as intended by the manufacturer of the equipment, even if such equipment is in perfect working order and properly installed in accordance with the manufacturer 's listed installation and design manual. The customer farther acknowledges that VFP is not an insurer and that the customer assumes all risk of property damage and/or loss of life to the customer's employees, patrons, guests, vendors, and/or any other individuals on the customer's premises where the fire protection equipment is installed and that VFP neither bears nor assumes any responsibility whatsoever for any loss or damage resulting from any causes beyond VFP'S reasonable control, including, without limitation, if the fire suppression equipment: fails to function as intended or expected, is outdated, has been tampered with, altered or has been improperly used, repaired or maintained, or if the hazard protected by the fire suppression equipment has been altered or changed. Regardless of all else, VFP'S liability on any claim for loss arising out of or connected with the fire suppression equipment listed on the face hereof shall be limited to two times the cost of the inspection and in no cases shall VFP be liable for special, incidental or consequential damages. UL-300 SAFETY ALERT UL-300 is a design-testing standard for manufacturers of fire suppression systems for commercial cooking hazards, which took effect in November of 1994. The previous testing standard was promulgated at a time when the use of animal based cooking fats and oils dominated the commercial cooking industry and at a time when cooking appliances were designed with less thermal efficiency. As a result,the progression to vegetable based cooking oils created hotter burning fires in appliances that held their heat much longer and in effect, systems designed prior the the UL-300 standard are inadequate to protect a modem commercial cooking hazard. As a result of these changes, if your fire suppression system was designed prior to the latest design testing standard for kitchen fire suppression systems, Underwriter's Laboratories Standard UL-300, in effect since November of 1994, it is unlikely that your system is capable of providing adequate protection from fire, even though that equipment, when initially installed, may have complied with the then applicable code and design standards. VFP strongly urges owners of pre-UL-300 systems to upgrade their systems to the newest standard as soon as possible and in no case shall VFP have any liability of any kind relating to the performance, or lack thereof, of a pre-UL-300 system. Ilarkf fllvee� Pre-Engineered System Inspection Report 494 Bridgeport Ave.,Suite 101,#314 Shelton,CT 06484 Date of Service: (S ? Time: L : 3 G dAANI PM OFFICE:(203)767-6147 EMAIL:info@valieyfireprotectionl.c.com Annual/ mi-An /Recharge 1 New System/Renovation(aide one) CustomerlLocation . , ��c System Information n Cfia Name: I C✓� Make: L Address: Model: City ST,Zip tar" G Size: /3 Phone: (L L �-- Control Head: U Owner/Manager <; o ?/�Y r�/� Location of System: Se - j /� } c !�e Yes No WA Yes No N/A 1 System Interiocked with building fire alarm. 14 Checked operation of manual release. 2 An tamper seals intact. No evidence of tampering. 15 Piping obstruction testing per N.F.P.A,-1177AADDate 3 All appliances property covered with nozzles. / 16 Checked operation of gas valve.(?I"E /ELEC.) / 4 Duct(s)&plenum property covered w/correct nozzles 17 Pipe/oonduft securely bracketed. / 5 Hood/dud penetrations property sealed. / 18 Nozzles cleaned. / 6 Grease accumulation [] excessive heavy normal 19 Proper nozzle capslcovers in place. Qty 7 Pressure gauge in acceptable range 20 Exhaust fan in operating condition. / 8 Checked cartridge weight 21 System operational&armed. 9 Cylinder with hydrotest date Due Z o 22 Fan warning sign on hood. l 10 Inspected cylinder and mount 23 K-Class fire extinguisher In cooking area. 11 Checked operation of detection line 24 Personnel instructed on manual operation of system 12#of Fusible links 3600 4500 500e OTHERL� 25 Filters compliant with NFPA96 13 Replaced fusible links. 26 System meets U.L.300 standards. Cooking Appliances(left to right): '%2 />✓N'L� �� !� Safety Notice: Nontompuant syntems may fan to extinviWoupress a fin. Below are non comprlant conditions whkb require Immediate attention'. Valley Fire Protection assumes no responsibility for system performance If these conditions are not correetad and/or vertfied by an ouftortzed agent of Valley Fire Protection. Comments/Non-Compliance: T Hood Size: Hood Cleaned Last: Extg. Valley Fire Protection Agent: Date: Customer Authorized Agent: Date: � r N F PAS Customer Acknowledgment and UL-300 Safety Alert on Reverse- Rev. 06-08-2004 �. � VALLEY FIRE PROTECTION 494 BRIDGEPORT AVENUE,SUITE 101,PMB 314,SHELTON,CT 06484 OFFICE: (203)767-6147 EMAIL:info@valleyfireprotectionllc.com WEB: valleyfireprotectionllc.00m Customer Acknowledgement and UL-300 Safety Alert on Reverse-Rev.06-08-2004 CUSTOMER ACKNOWLEDGEMENT The customer acknowledges that any inspection of a customer's fire equipment by Valley Fire Protection (VFP) is limited to identification of deficiencies that may impede or hamper the intended function of the equipment and that VFP is not responsible for, nor capable of, identifying by inspection, every defect that may adversely affect the system's performance, particularly those defects of a latent nature, defects or omissions related to the manufacturer's design and instructions or defects which exist in inaccessible areas of the system, whether or not such defect's existence could have been determined by inspection had the area been accessible at the time of inspection. The customer further acknowledges that it is beyond VFP'S ability to determine with any degree of certainty whether any fire equipment is capable of extinguishing any fire as intended by the manufacturer of the equipment, even if such equipment is in perfect working order and properly installed in accordance with the manufacturer 's listed installation and design manual. The customer further acknowledges that VFP is not an insurer and that the customer assumes all risk of property damage and/or loss of life to the customer's employees, patrons, guests, vendors, and/or any other individuals on the customer's premises where the fire protection equipment is installed and that VFP neither bears nor assumes any responsibility whatsoever for any loss or damage resulting from any causes beyond VFP'S reasonable control, including, without limitation, if the fire suppression equipment: fails to function as intended or expected, is outdated, has been tampered with, altered or has been improperly used, repaired or maintained, or if the hazard protected by the fire suppression equipment has been altered or changed. Regardless of all else, VFP'S liability on any claim for loss arising out of or connected with the fire suppression equipment listed on the face hereof shall be limited to two times the cost of the inspection and in no cases shall VFP be liable for special, incidental or consequential damages. UL-300 SAFETY ALERT UL-300 is a design-testing standard for manufacturers of fire suppression systems for commercial cooking hazards, which took effect in November of 1994. The previous testing standard was promulgated at a time when the use of animal based cooking fats and oils dominated the commercial cooking industry and at a time when cooking appliances were designed with less thermal efficiency. As a result,the progression to vegetable based cooking oils created hotter burning fires in appliances that held their heat much longer and in effect, systems designed prior the the UL-300 standard are inadequate to protect a modern commercial cooking hazard. As a result of these changes, if your fire suppression system was designed prior to the latest design testing standard for kitchen fire suppression systems, Underwriter's Laboratories Standard UL-300, in effect since November of 1994, it is unlikely that your system is capable of providing adequate protection from fire, even though that equipment, when initially installed, may have complied with the then applicable code and design standards. VFP strongly urges owners of pre-UL-300 systems to upgrade their systerns to the newest standard as soon as possible and in no case shall VFP have any liability of any kind relating to the performance, or lack thereof, of a pre-UL-300 system. l SYSTEM RECORD OF INSPECTION AND TESTING This/orrn is to be competed by the system inspectivo nerd tosliag con/raclor al the time o/a system test. //shal/boAW17 601 to lnod1l y//;/$loran as needed to provide a snore complete endlorchar2'corll /nserl N/A in n//mpusorl/1nes. Al4ach eldilionalshools,na/x o.-c,�/cu/a/loos as nocessmy to provide acomp/olo iocord. laspection/t'"I Slant Ditlefl into: 6/24/2025 -_ - -` Inspeclionl Fest Completion Datefl1ill': 6/24/2025 tiupplcntenutl Fornalsl,\cached: __ _._._.._____._.. U'esinu► - . 1. PROPERTY INFORMATION N:unc of propert R e e Shopping Center-Bldg.2 \dllnss: .124r15�$os8h Ridge Street and 27 Rye Ridge Plaza Rye Brook NY 10573 IN-sctrplion of properly: Retail_Slomti-and-.RP-SAaurarjts____ Name of'prol,crty representative: WrLRWge♦j_alty=&lens HgI4pjin- -- Address: 24 Rya Ridge Plaza Rye Brook,NY 10573 I'lluue: 914-701-4005 _ - i'„�; 1=•mail: ahakan inQwlnrldge.Com 2. TESTING AND MONITORING INFORMATION Testing org,mirruiou: _Scarsdale Security Systems, Inc Address: 1.32 Montgomery Avenue,Scarsdale,NY_10583 Phone: (914)722-2200 _- has: (914)722-2299 - Ivlonitoring organin itiun: Scarsdale Security Systems Inc. _ - Address: 132 Montgomery Avenue Scarsdale,NY 10583 — -~ Phone: 914-722-2222 _- I'as: 914_722-2299 E-mail: service_@scarsdalesec_urity.com --- Account nundter: 541306 -_ Phone line I: -------_.-- 1'houe line 2: _---- ---- Menus of transtnission: Radio Emily to which alarms are rcuautsmincd: --- ^�- ---- -- Phone: - 3. DOCUMENTATION - -- On-rile location ul'Ifie required record Ckwun tell ts and site-sperdic sofl Will:: 4. DESCRIPTION OF SYSTEM OR SERVICE _ — 4.1 Control Unit 4lanufncufrcr: . .....ent night�--_.... --�- -- _- Nludel numhcr: 6820 4.2 Sof fare and Firnn ilre Firmware revision numlxr: 4 i System Power 4.3.1 Prinutry(Multi)Power Nominal vohage: 110 --- Amps: 15 1_urntiun: 01TI-curreol prolectiun type: UB __ Aml- 20 Disconnecting nears I(wmioo- Copyrighl 0 2012 National Fire Pro:eclion ASSOCIallon.This form may be copied for IndivNdual use olhei than foi ruaole.Ir may nor be copied for commercial safe a dlsiatrudon 6 Io? dj SYSTEM RECORD OF INSPECTION AND TESTING (Continued) h. DESCRIPTION OF SYSTEM OR SERVICE(continued) 43.2 Secondary Power \pe: 88tter..—__..__..............----..........._.------ Lr+eatiun' Panel ---- - .. n:atery typ:(if applicalk): Lead Acid ('nlCuialed capacity of hwwric,�to drive the sy.tem: 24 --....__.-•_-_-- 5. NOTIFICATIONS MADE PRIOR TO TESTING \•Inniluring organizatimi C'untact: Scarsdale Secu I inns: Building management C'umatct: Win Ride —— I into: 8:30 Building occupants "nuu't: t'inte' Authority having jurisdiction G1111.1o: Time: -- — —! Other, if regtnred G. TESTING RESULTS 6.1 Control Unhand Relate(I Equipment Visual Functional Description _ -- — Infection Test Comments Control unit L 6d Lamps/LEDs/LCDs ❑ ❑ Fuses ❑ ❑ Trouble si nals Disconnect switches ❑ ❑ Ground-fault monitoring _— ❑ ❑ t Supervision— — Ed.Local annunciator annunciator 0 tQ Remote annunciators ❑ ❑ ^ ^ Remote power panels ❑ ❑ — 6.2 Secondary Power Visual 1 Functional Descrl tp ion — Inspection 'rest Comments _ Battery condition Gd 9 Load voltage ❑ ❑ Discharge test ❑ ❑ Charger test ❑ Q Remote panel batteries ❑ Q Copyright©2012 Nefonal Fire Protection Association.This louu may be copied for IN-v.dual use other man for rosolo.It may not be copied for commercial ea to or dlstobulion. SYSTEM RECORD OF INSPECTION AND TESTING (continued) 6. TESTING RESULTS(continued) 6 1 Alarnt and Supervisory Alarm Initiating Device Attach supplementary device test sheets for all initiating devices. 6.4 Notification Appliances Attach supplementary appliance test sheets for all notification appliances. 6.5 Interface Equipment Attach supplementary interface component test sheets for all interface components. Circuit Interface/Srrinaling Line Circuit Interface/hire Alarm Control Interface 6.6 Supervising Station Monitoring Description Yes No Tlfne Comments - Alarm signal t7 ❑ 8:3o AM _Alarm restoration — _ - K1_ - 0 - 3:00 PM .- ----- ----^� - Trouble signal 8:30 AM Trouble restoration fyf ❑ 3:00 PM Supervisory steal - vJ Cl _ _ 8:30 AM __Supervisory restoration I�_ ❑ 3:00 PM 6.7 Public Emergency Alarm Reporting Systean Description _ _ Yes _-No Time Comments Alarm signal ❑ ❑ Alarm restoration ❑ ❑ Trouble signal` ❑ _ - ❑ Trouble restoration ❑ ❑ Supervisory signal ❑ ❑ Supervisory restoration ❑ ❑ Copydghl•J 2012 Notional Fuo Peolecdon Association.This!orrn may bo cop:ad lot individual use other than for resale.It may not be copied for commercial sale or distrihtrt:on SYSTEM RECORD OF INSPECTION AND TESTING(continued) 7. NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring organization comacc Scarsdale Security 'Time: 3PM Building management C'onulct: Win Ridge r11"' 3PM Building occupants Conlacl: _ Thu: Authority having jurisdiction Contact rime: Other, if Cnntacl: Time: —�— required 8. SYSTEM RESTORED TO NORMAL OPERATION Date. .8@412025.-_.---__ 'nine: 3 m 9. CERTIFICATION This system as specified herein has been inspected and tested according to NFPA 72, 2013 edition, Chapter 14. Sighycr'oe�C / �.-.--- Primal name: 5a [GSILA I Date: SI24L2.025— -. Org;ullzaln'n: Scarsdale Security — 'Title: Service Technician Phunc: rlualifications(re lei to I0.5.3): ------ --- 10. DEFECTS OR MALFUNCTIONS NOT CORRECTED AT CONCLUSION OF SYSTEM INSPECTION, TESTING, OR MAINTENANCE 10.1 Acceptance bt•Owner or Owner's Representttlit•e, The undo ' ed accepted the test report for the system as specified herein: Signed: .ram �� Printed nnnlc: 2� Organization: r� Ai�� 'rills: Phonc: ��t''rw� Copyliyhl 4 2012 Notional FFw Frioleclion Associallon.This Conn may be Copied lot indlvdual use olhot Ihnn lot tosale.It may rot be copied lot COIltmaMal sale of 01slnbWlon. BUILD \TMENT Rn I U VILL4 E OF RY \bOK OCT 2 9 2025 938 KING ET RYE BR . ��NY 10573 _ _ 4 -0 � / + VILLA.0 OF i?` BZCOK ov FIRE INSPECTION / OPERATING PERMIT APPLICATION FOR OFFICE USE ONLY: (� Fee Paid: $ �� Inspection Date&Time: / 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: 0 11-31 is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting that a Fire Inspection be c nduc ed 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. f 1. Address: l2lo >, 1 OCT SBL: I`7'1, 0 7-1— � Zone: C/ —P 2. Business/Occupancy Name: RAE P-T;b 6f NYS Use Class: 3. Property Owner: Pf bur, 9A&_Tj Ll�C_ Address: Z' MIF, R'rm M Phone# ����'" � '�l'(i�`,��Cell# email: � �- {1'S 5. Business Owner:-'Y4 MAY­M-� Address: Phone# Cell# �`1��=Q y t (Gi email: ��' 11,�(t Cy�1jft'�L•CW`M ,2 6. Emergency Contact: •Sto j 1 '1� �1 � ��,,..,,,,� Address: Phone# Cell# 1(�' 4LL' l&'4'1D email: MCR�t[7 7. Inspection Escort: SC-C1t�11a. T(ly Title: �ArA Y\) S Phone#: Cell#: SAA email: 8. Provide a brief description outlining the current and/or intended use of the property: ���✓���7fhJrE'-1rN f 9. List all Hazardous Materials: 10. Occupant Load: Existing: Proposed: Other: 11. Date&Disposition of Previous Fire Inspection: y,1-;�, Pass ❑ Fail 1 6/1/2024 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 WESTCH__E SSlTER ) as: COT N� I N -,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 bjl N�64S5 CW�� ,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 2-3 Sworn to before me this day of 040 3� , 20 7_� day of �.r U13�-1�-- , 20 ZS N Public Notary Public 1 ; Signature of Property(warier Signature of Applicant Print Name of Property OvML!r �� �� Print Name of Applicant RICHARD A.YARMY II aw�t#tn�oMN�►C� NOTARY PUBLIC,STATE OF NEW YORK Registration No. 01 YA0013323 Qualified in Westchester County Commission Expires September 08,2027 2 6/l/2024