HomeMy WebLinkAbout681 VILLAGE OF RYE BROOK
WESTCHESTER COUNTY, NEW YORK
2:
NO: 23-126 8
Certificate of Occupaucp
This is to certify thatf& l2Q,& &/ 11a JyZkrl (d0_JP01 aaaaS� afj ad/,(0
do'ni'ce
of, having duly filed an application on
/(3 20 J3 requesting a Certificate of Occupancy for the premises known as,
—7 Rye Brook,NY, located in a R w Zoning
District and shown on the most current Tax Map as Section: 5Block: Lot:
and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building
Permit No. �O ) , issued L,23 19 5y, such authority and permission is hereby granted
to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following
New York State Classifications, Use: K py" C]�A'MJ)Z Construction:
for the following purposes: 2 P0J- nd Door [y DY/Y?er oclel l-hol?
Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the
following:
This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises,
building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes
for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from
complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition.
No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement,
whether by extending on any side or by increasing in h fight shall be made,nor shall the building be moved from one location
to another until a permit to accomplish such change h ee nobtfrom VeBuilding Inspector.
Building Inspector,Village of Rye Brook: Date: AUG 0 9 2023
ECEME
IDBUILDING DEPARTMENT For office use only:
PERMIT# _
J U N 19 2023 VILLAGE OF RYE BROOK ISSUED: /— Sy
8 KING STREET,RYE BROOK,NEw YORK 10573 DATE:
VILLAGE OF RYE BROOK (914)939-0668 FEE: $ ��(_}.— PAEjf-
BUILDING DEPARTMENT ww%.rycbrook.orP-
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
.............................................................................v...............................................
Address: 1 P(A n L ���` ) Ty 4 3
Occupancy/Use: kI Parcel ID#: .3J1 Zone: �L�
Owner: 9GA Addressl &C uw,,�ul C t,/C.IIk 4, E 6/110
P.E./R.A. or Contractor: Address:
Person in responsible charge: Address:
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:
STATEOF NEW( �^ It—,
COUNTY OF WESTCHESTER as: tt --
�l Q Qr T C� k being duly swom,deposes and says that he/she resides at /� ��(( �q `><,� � �A�CALL
Name of Applicant) (No.and Street)
ine fyrJ in the County of in the Stateof —,that
(City/Town/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:S 5-00, OO
for the construction or alteration of: ,�&I-Q T7 6
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.of the Code of the Village of Rye Brook.
C;
Sworn to before me this Sworn to before me this
day of 20'. 1L day of , 20
Signature of Property Owner Signature of Applicant
t �ame of Property owner Print Name of Applicant
L." - I�J
Notary Public Notary Public
SHARI MELILLO
Notary Public,State of New York
No.OIME6160063
Quallfled In Westchester County
,�ornmisslon Expires January 29,29ty
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QyE BRC��
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�'• �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 ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : L
DATE:
PERMIT# ISSUED: SECT: BLOCK: LOT:
LOCATION: �Y \A OCCUPANCY:
❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INPVLATION
❑ Nitural Gas
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
❑ OTHER
L