N.Y. Comp. Codes R. & Regs. tit. 10, § 791.6
(b) The failure, neglect or refusal of an applicant who has received approval for the repair, maintenance, alteration, acquisition, erection or building of a hospice inpatient facility or unit, or hospice residence, or part thereof to conform to the following requirements within the prescribed times, unless otherwise authorized in writing by the commissioner, shall constitute an abandonment of the application by the applicant and result in the expiration, withdrawal and annulment of the commissioner's approval:
(6) after issuance of the approval of final drawings, specifications and cost estimates: