HomeMy WebLinkAboutFire Inspection Reports 2019 Vd y
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook, N.Y. 10573 ADMINISTRATOR
Paul S. Rosenberg (914)939-0668 a Fax (914)939-5801 Christopher J. Bradbury
www.ryebrook.org
TRUSTEES BUILDING&FIRE
Susan R.Epstein INSPECTOR
David M.Heiser Michael J. Izzo
Jason A. Klein
Jeffrey B. Rednick
February 26, 2019
Via I"Class Certified Mail
Sean O'Connell & Evelyn O'Connell
87 Grant Street
Rye Brook, Ne%% York 10573
Re: 87 Grant Street, Rye Brook,New York 10573
Dear Sean O'Connell & Evelyn O'Connell,
It has come to the attention of the Building Department that it has been over three years since the premises located
at the above captioned address has undergone and successfully completed a Fire Inspection. Please note that you
are required by Rye Brook Village Code§91-4.131, to undergo and successfully complete a Fire Inspection for this
location at least every thirty six(36)months.
In order to avoid a violation, please complete and submit the attached Fire Inspection/Operating Permit
Application form, remit the correct application fee,and schedule your triennial Fire Inspection with the Building
Department by no later than. March 26.2019,which is thirty(30)days after the date of this notice. Please note
that the property owner's notarized signature,as well as the business owner's notarized signature must appear on
the application form in the appropriate spaces. Upon successful completion of the Fire Inspection,you will be
issued a Fire Inspection Certificate valid for three(3)years.
Please remember that you must schedule your Fire Inspection every three(3)years by filing a Fire Inspection/
Operating Permit Application, remitting the applicable fee,and scheduling your Fire Inspection with the Building
Department at least thirty(30)days prior to the expiration date listed on your Fire Inspection Certificate.
Thank ou*
Mic ael J. Izz
Buildi Fire Inspector
m izzo(a,ryebrook.org
cc: Steven E. Fews, Assistant Building& Fire Inspector
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BUILDING DEPARTMENT f]D �J v
VILLAGE OF RYE BROOK WAY 13 2M
938 KING STREET RYE BROOK,NY 10573
(914)939' A 914)939-5801
VILLAGE OF RYE BROOK
w °f BUILDING DEPARTMENT
ELECTRICAL PERMIT APPLICATION——*
Westchester County Master Electricians License Required
FOR OFFICE USE ONLY BP#: EP#:
MAY 1 6 2019 )
Approval Date: Permit Fee: $
Approval Signature: Other:
Disapproved:
(fees are non-refundahfc)
Application dated, py 1��/nis hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of
a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per
the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work
performed will be in conformance with all applicable Federal, State,County and Local Codes.
1.Address: 8', Cy'r14 4. 'so+• SBL:Nl.w- 1 -20 Zone: R@-F
2.Property Owner:
nnSCgM O'C,.ont)40% Address: " WiK ym"Al 94 ! r♦..%�y(,
Phone#: �'1" $7.44 Cell#: email:�����IQ/�>,e�4 �aO1•SAM
3.Master Electrician: Address: q H n11 AYe
Lic.#: /Ly Phone#: 1y 1 1- y111 Cell#: 4401- 1 qSZ email: MAjIELECTRI C.9 e Qy"1441.Com4
Company Name: MAR Ejeci"m _Address: Q-1 N q1% fwp— r
4.ProposedElectricalWork/FixtureCount: PIT 6yNt -6TWW-rQ �tC�}S >,h �A\�S. =nS� OT r]►��
0L*Ar-tom. C4d&lNn anq 1 004,1e+26 Added
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
M l„-jwp, A d9ea%6MO ,being duly sworn,deposes and states that he/she is the applicant above named,and does further
(print name olindividual signing as the applicant)
state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the
for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.)
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 to before me this Sworn to before me this /0
day of 120 day of ,20i_
Signature of Property Owner Signature of Applicant
MIC�,Ae1 t4 R�rnnNG
Print Name of Property Owner Print Pame of p 'can
Notary Public NLaryIWicl
JARA T HENRY
Notary Public-State of New von
N0 01HE6369417
Qualified in Brcnx County
My Commission Expires Jan 8 20— 3/21/19
Westchester Rockland Electrical Inspection Services, InC. a Phone: 914-347-3595
DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596
Elmsford, NY 10523 BUILDING PE MIT NO.
TEMP# DATE
t C?.
CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY
STREET AND NO.OR ROAD 4— POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT —�)Q)
91
OCCUPANT'S NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
_ 11 --i'+
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE
LOCATION LAMP RECEPTACLES ONLY
SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION
OUTSIDE
BASEMENT
1s'FL
2'FL.
3"'FL.
VILLAGE OF RYE
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: iB U I L D I N G D E PA RTM E N'T
� a
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 AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS
NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT,
MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO
ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION.
SIZE OF SERVICE FEEDERS
CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND❑ ��
I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
SIGNATURE OF APPLICANT
NAME OF COMPANY DATE OF APPLICATION
STREET ADDRESS TELEPHONE NO.
CITY OR POST OFFICE C ZIP CODE 1 LICENSE NO.WHEN APPLICABLE