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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rve Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
www.!:yebrook.org
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein. Michael J. Izzo
Stephanie J. Fischer
David M.Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
June 13, 2022
Washington Park Plaza Associates LLC
275 South Ridge Street
Rye Brook,New York 10573
Re: 275 South Ridge Street, Rye Brook,New York 10573
Parcel ID#: 141.35-2-51
Building Permit#22-012 issued on 1/24/2022 to Legalize Store Front& Entrance
This certifies that the new brown aluminum storefront and entrance,installed under the above captioned
permit has been satisfactorily completed.
Sincerely,
Michael J. Izzo
Building&Fire Inspector
/to
! BUILDINGI&PAATNIENT For office use on1
PERMIT#
APR 21 2022 VILLAGE OF RYE BROOK ISSUED:
938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:
VILLAGE OF RYE BROOK (914)939-0668 FEE: PA>DJQ
BUILDING DEPARTMENT www.ryebrook.erg
APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCES
AND CERTIFICATION OF FINAL COSTS
TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION
rrrrrr►�►lr+trrrr►r►wrr►►+r►rtrrrtrtr►►+►►►►++rr►►+►►r►t►►►►rr+rt►►r►►►rwtr►r►r►►►trtrr►►r►+ss►►►r►r++r►s++s►►+►►ss+s►++►s►s►►s►►s►►
Address: S 0,A11n LA V-W(.
Occupancy/Use O/heO Parcel ID#: I t'l l t 3 J Z "Jul Zone: 0 —Is
Owner: ez1 N �VkItAS*N 1 Address: 4 W L il7N W a 60S (L-p
P.E./R.A.or Contractor:C.W6i IllkL R.al Lb jE L I# Address: 1 5'k,A, z (� }�, T12K�
Person in responsible charge: ED) ri 811_ A] N O 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:
STATE OF NEW YORK,COUNTY OF WESTCHESTER as:/ �lrrr L•�' being duly sworn,deposes and says that he/she resides at !& AkWJ77—T9'1�
(Print ame of Applicant) �- (No.and Street)
in x�u�� ,in the County of in the State of 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:$ 9.-0 0P n
for the construction or alteration of N k--ID.1(, Ir *(lam 417
9 C �� c, S L 0 0 o ti C—,N�-�t�&
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.
Sworn to before me this —�V—U 7-?, Sworn to before me this
day of ,20 0� day
'oof�� ►2t(� ,20�_
` r ,.0
Signatatuurreeo Property Owner Signature— of Applicant
/!%17 —Yh �v Y_ /�r!/7 �v C�Y� / Cam// /fit/ r
Print Name of Property Owner Print Name of Applicant
Notary Public Notary c
CAROLYN MARIE CANNISTRARO N M SWZZO
Notary Public-State of New York NafgW RMIX,MMOFNSN 8/12/2021
No.01 CA6177080 Registration No.01WW7W19
Quom in Waddmw �Qualified in Westchester County
My Commission Expires Nov.5,2023 MYnr^�6I0n �°March 11,202e
QyE BRCuk.
1982 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 : -S� I - T- DATE: (t! '� Z 2
PERMIT# 1/;E>2,2 - D17 ISSUED: ZZ SECT: �T BLOCK:2 LOT-�--( _
LOCATION: N F-w i`a2 � o"l OCCUPANCY: A-2-
❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ NATURAL GAS
❑ L.P. GAS 2 G
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
Ey CROSS CONNECTION
FINAL
OTHER
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BUILDING I E$� TMENT D ECENED
VILLA,OE OF RYE$ROOOK
938 KING$TREET RYE BROOK,NY 10573 ,BAN - 6 2022
(914)939-0668
w w.rK ftokArg VILLAGE OF RYE BROOK
- BUILDING DEPARTMENT
FOR OFFICE USE ONLY: I`
Approval Date: J AN 2 4 2Q �Permit# —Q c�+ Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: U Date: J AN 1 9 2022
ROT Approval Date: Case# : Chairman:
PB Approval Date: Case# Secretary: pc_
ZBA Approval Date: Case#
VS—
Other: 1-k-4,L K-.) 2—Z
Application Fee: Permit Fees:_
EXTERIOR BUILDING PERMIT APPLICATION
Application dated: 13a L is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as er detailed statement described below.
1. JobAddress: S `�C l �fcQe
2. Parcel ID#: 1_ S — 7 - 1 Zone:
3. Proposed Improvement(Describe in detail): CA yqyv L,N fo 72, Z Elf— fl/Ll F Z)OO _
4. Property Owner. 0 C Q j LLl_,.
t p
Address �l I I�t t 4 e—
Phone# t 1�" 1 S'�1 6 6 Cell# e-mail
List All Other Properties Owned in Rye Brook:
Applicant: j 11�) k��'1 'U—� 1 -� >
Address: S y " ' � - � 2 7{l-aJ�N /V -41
Phone#_!N t'J S Lvj Cell# NJ e-mail ]j,`i-, 13 -511 1Q,7S (7 4
Architect:
Address: 0 tll a W 6 Lf 5 ��L A� � P/C L �IA(�'�. M�
Phone# �J 3 SJ J ��4 _ell# 85-1 e-mail L ✓l/1� E R/CIt-�2 l�}'
Engineer: AA M
Address:
Phone# --II Cell# e-mail
General Contractor: C �� �Yv A L IR U t.P �`6 r,�c-
Address: 3(S W 3 'TG, S i '3 `� N _�10019
Phone# Cell#f a Ij e-mail
T
(1)
8112/2021
5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction:
6. Area of lot: Square feet: Acres:
7. Dimensions from proposed building or structure to lot lines: front yard: rear yard:
right side yard: left side yard: other:
8. If building is located on a comer lot,which street does it front on:
9. Area of proposed building in square feet: Basement: lit fl: 2°dfl: 3'd fl:
10. Total Square Footage of the proposed new construction:
It. For additions,total square footage added:Basement: 1"fl: 2°d fl: 3'd fl:
12. Total Square Footage of the proposed renovation to the existing structure:
13. N.Y.State Construction Classification: N.Y.State Use Classification:
14. Number of stories: I Overall Height: Median Height:
15. Basement to be full,or partial: finished or unfinished:
16. What material is the exterior finish:
17. Roof style;peaked,hip,mansard,shed,etc: Roofing material:
18. What system of heating:
19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this
application.
20. 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...) Yes: No:
(f yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans)
21. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervpus coverage requiring a
Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area:
22, Will the proposed projec require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes: No: (f yes,applicant must submit a Site Plan Application,&provide detailed drawings)
23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No:
(if yes,you must submit a Site Plan Application,&provide a detailed topographical survey)
24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: /
(if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan)
25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:
(if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan)
26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No:
(if yes,applicant must submit a Tree Removal Permit Application)
27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No:
Indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required)
28. List all zoning variances granted or denied for the subject property:
29. What is the total estimated cost of construction: S 2 So 0 V Note:The estimated cost
shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which
may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO.
30. Estimated date of completion:
(2)
8/12/2021
BUILDING DEPARTMENT U
VILLAGE OF RYE ROOK JAN - 6 2022
938 DING SET RYE BROOK,NY 10573
939-0668 , VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
k:ea'
wwwww*w*w*wwwwwww**www:rw*w,r***w***w,t*,r*,r**,t**,r*,t,t,t,t*�*w*w*ww,t*****wwwwwwww***x*�r*wwwww*,r**w***w*wwwwwww
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:
7_/_J,1� 14�" ,residing at, 71— X-VULE
(Print name) I (Address where you live) IdDiAnx
being duly sworn,deposes and states that(s)he is the applicant above named, and further states 1ha a is the
legal owner of the property to which this Affidavit of Compliance pertains at;
6207' L ( , Rye Brook, NY.
(Job Address)
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.
Lr'KJ'-
(Signature of Property Owner(s)
/ '>+4
(Print me of Property Owner(s))
Sworn to before me this r J
f -77 , 20,a *X�
I
otary
CAROLYN MARIE CANNISTRAR
Notary Public-State of New York
No.01 CA�,77080
Qualified in West ter County
My ComrnisKion Ex p ires
8/12no21
This form must be properly completed & notarized by the Design Professional of
record and the Property Owner. Failure to provide this completed form with your
permit application will delay the permitting process.
Notice of Utilization of Truss Type, Pre-Engineered Wood,
or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR)
To:The Building Inspector of the Village of Rye Brook.
From: c
Subject Property: 5 J�K ��4 ,'�`1134�f SBL: Zone:
Please take notice that the subject; ❑ One or Two Family; r Commercial,
❑New Structure
❑Addition to an Existing Structure D (�
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize; f AN - 6 2022
❑ Truss Type Construction(TT) VILLAGE OF RYE BROOK
❑Pre-Engineered Wood Construction(PW) BUILDING DEPARTMENT
❑Timber Construction(TC)
in the following location(s);
❑Floor Framing,including Girders&Beams(F)
❑Roof Framing(R)
❑Floor Framing and Roof Framing(FR)
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§1264 for Commercial Buildings,
and NYCRR§1265 for One&Two Family Dwellings.
Sworn to fore me s `r , Sworn to before me this /
day of 2 day of ( �d 20��02
Signature of Property Own /M AA 7 o , Signature of Design Professional
Print Name Owner At�z..97
-- Print Name of Design Professional
otary Pu � o Publi
CAROLYN MARIE CANNISTRARO CAROLYN MARIE CANNISTRARO
Notary Public-State of New York (7) Notary Public-State of New York
No.OICA6177080 No-01CA6177080
Qualified in Westchester County Qualified in Westchester County
My Commission Expires Nov.5,2023 My Commission Expires Nov. 5,2023
This application must be properly completed in its entirety by a N.Y. State Registered
Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where
indicated. It must also 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:
gehSW ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the applicant)
and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the
14 tC6en 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.
Sworn to before me this Sworn to before me this
day of , 20�� day of ,20 V��
1
Signature of Property Owner Signature of Applicant
Print Name of Property Owner Print Name of Applicant
i
Notary Pub' Notary Publi
',ROLYN MARIE CANNISTRARO
Notary Public_State of New York
No.01CA6177080 CAROLYN MARIE CANNISTRARO
Qualified in Westchester County Notary Public-Slate of New York
V Commission Expires Nov. 5,2023 No.01 CA6177080
Qualified in Westchester County
My Commission Expires Nov.5,2023
(8)
8/12/2021
Mike Izzo
From: Mike Izzo
Sent: Wednesday,April 13, 2022 4:23 PM
To: 'Brothers Hima'
Cc: 'martha7087@aol.com'; Steven Fews; 'Tara Orlando'; Laura Petersen
Subject: RE: 275 s ridge st
Attachments: CO - CC Application 8.2021.pdf
Dear Mr. Ahmetaj,
Thank you for the email.
After reviewing your permit file for the subject address, I find a number of outstanding items which must be
addressed before we can schedule any final inspections.
You have three open construction/demo permits and one open sign permit. The oldest one is Demo Permit
#DP21-007 issued 10/7/21 to demolish interior finishes. You must file for a C/O to close this permit and
remit the appropriate C/O fee. The fee is based on the final cost of the demo work which must be provided by
you on the C/O Application. A copy of the C/O Application is attached hereto for your convenience.
Next is BP22-007 issued 1/19/22 for the interior renovation of the restaurant. The file indicates that not one
of your trades called for any inspections for anything during the renovation work including plumbing, HVAC,
fire sprinkler, fire alarm, line voltage or low voltage electrical. Neither do we have a copy of the approval from
the NY State Liquor Authority for the new bar. Once these items are resolved you must file a C/O application
and fee as previously described, then you can request a final inspection.
Next is BP22-012 issued 1/24/22 for the storefront renovation. Again, the file indicates no inspections
requested or performed, and no C/O application or C/O fee.
Finally, SP22-002 issued 3/25/22 for the new roof sign: no inspections, no C/O application, and no C/O fee.
Please arrange to resolve these open issues to the satisfaction of the code. To schedule an inspection, please
contact one of our Office Assistants by telephone, Monday through Friday between the hours of 8:30am and
4:00pm at (914) 939-0668.
Thank you.
lffld aell(/, �ZZO
Building & Fire Inspector
Village of Rye Brook, NY
(914) 939-0668
From: Brothers Hima <himabrothers@gmail.com>
Sent: Monday,April 11, 2022 2:37 PM
To: Mike Izzo<Mlzzo@ryebrook.org>
Subject: 275 s ridge st
Mike good afternoon I hope this email
finds you well
1
I be ready for final inspection in this 2 days is any way you can stop by please
I have done
Fire alarm report
Striker system Report
Fire suppression system Report
Fire extinguisher report
Hood cleaning report
Emergency lights test and report
Greas trap report
Please let me know if I need anything else
And when is a good day for you to come in.
Thank you
Edin Ahmetaj
z
Building Permit Check List&Zoning Analysis
C Address• z Z-5- S • S l SBL•
Zone:�-� Use ConsG Type: Other. O tt O y fL �C
Submittal Date: l Z' Revisions Submittal Dates:
Applicant: 06ILDA.-
Nature of Work: t�FZ A L L Z��— W w —RCL0 w
S i 9/L'—ZT-(1D ti\ _T__JAN N C B
Reviews:ZBt% 1 U 20 PB: BOT: Other.
hW OK �;'W Sco
( ( ) FEES:Filing: Z�1q)•��BP:_eP715-— C/O: Legalization: 7.5 0, �
( ) (•�'APP: Dated ✓ Notarized: ✓ SBL _-'Truss I.D. Cross Connection: ' H.O.A.:
( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening
( ) ( ) ENVIRO:Long. Short: Fees: N/A:
( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other.
( ) ( ) SURVEY:Dated Current Archival: Sealed. Unacceptable:
( ) ( ) LANS:Date Stamped Sealed:—Copies: Electronic. Other.
( ( Lic Workers Comp: V Liability Comp.Waiver. Other.
( ) ( ) CODE 753#: Dated N/A:
( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other.
( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other.
( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other.
( ) ( ) PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other.
( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other.
( ) ( ) H.V.A.C.: Plans: Permit N/A: Other.
( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other.
O O 2020 NY State ECCC: N/A: Other.
( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other.
( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER Other.
( ) ( ) Other.
WARB mtg.date: 1 ►`I L Z- approval• _motes:
( )ZBA mtg.date: approval: notes:
( )PB mtg.date: approval:- notes:
REQUIRED ExrslII•rG PROPOSED NOTFS APPROVED
Ana� Bates AAi 9 d 9f1�9
Circle:
Emma
E=
F=
Sida:
Rear.
Main Cov
Accs.Cov
Ft.H/Sb:
Sd.H/Sb:
-GFA.
T°�
Ft Imp:
Hcgbt/Stories:
notes:
BUILDING DEPARTMENT R
ECEE
VILLAGE OF RYE BROOK JAN - 6 2022
938 KING STREET RYE BROOK,NY 1057
(914)939-0668.,; VILLAGE OF RYE BROOK
:ryebwrool BUILDING DEPARTMENT
ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS
This form must be completed and signed by the applicant of record and a copy shall be
submitted to the Building Department prior to attending the ARB meeting. Applicants
failing to submit a copy of this check list will be removed from the ARB agenda.
5 S , f
Job Address: 2i � �q,v-,e- �J(tf�j^ Date of Submission:
Parcel ID#: Zone:
Proposed Improvement(Describe in detail):
(�A,UC VG � ��� APPLICANT CHECK LIST:
MUST BE COMPLETED BY THE APPLICANT
}" The following items must be submitted to the Building
Department by the applicant-no exceptions.
Property Owner: i / ',f� � ' � 1. (,}Completed Application
P " - 2. ( )Two(2)sets of sealed plans. (one full size(maximum
AdflrSS:' '� allowable plan size=36"x 42")and one 11"x17")
3. ( )Two(2)copies of the property survey.
Phone# flT j�� i �y 4. ( )Two(2)copies of the proposed site plan.
Applicant appearing before the Board: 5. (0 One electronic/disc copy of the complete
,D/1 A) At 7r application materials.
6. (l/)Filing Fee.
Address: LAN u,DoDs R—t' Llt'Z 7. ((/ )Any supporting documentation.
Phone# I-( �^Z 3 g �Z C` 8• ( HOA approval letter. (f applicable)
9. ( Photographs.
0.(
Architect/Engineer: 1 Samples of finishes/color chart. (a sample board or
Phone# model may be presented the night of the meeting)
By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit
Instructions&Procedures,and that their application is complete in all respects. The Board of Review reserves
the right to refuse to hear any application not meeting the requirements contained herein, —
Swom to before me this Swom to before me thiis,
day of 202 day of 1 .20
Signature of Property O;m Signhure of Applicant
;fI?A�'ff �_r✓V Y� /�/�/l1/�'�i!t(.1� 1l4'ry�-�-1 ' �i - 01
ame of Owner Ztof ApplicantNotary lic c
CAROLYN MARIE CANNISTRARC
CAROLYN MARIE CANNISTRARO Notary Public-State of New York
Notary Public-State of New York No.01 CA6177080
No.01CA6177080 Qualified in Westchester County
Qualified in Westchester County My Commission Expires Nov.5,2023 8/12/2021
My Commission Expires Nov.5,2023
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
938 KING STREET, RYE BROOK,NY 10573
(T) 939-0668 (F) 939-5801
ARCHITECTURAL REVIEW BOARD
Wednesday, January 19, 2022
NAME&LOCATIONS TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED
57 Hillandale Road Amendment To Prior 5670
(Grossberg) Approval
275 S. Ridge Street Legalize Store Front 5671
(Washington Park Changes
Plaza) 1c-L
10 Arlington Rd New Single Family 5672
(Gizzo) Dwelling w/Attached 2 Car
Garage
47 Hawthorne Ave New 1 Family Dwelling 5673-
(Miller)
92 Windsor Road 2nd Floor Addition(Master 5674
(Andronico) Suite)
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JUSTICE COURT OF THE TOWN OF RYE "
STATE OF NEW YORK: COUNTY OF WESTCHESTER >>'� . a
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PEOPLE OF THE STATE OF NEW YORK.
-against- No. 1310
Defendant.
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Be it known that I. M L, _k the complainant herein and duly authorized Code Enforcement
Officer of the Village of Rye Brook,do hereby accuse the defendant(s) named above,residing at LkGt
j,►,IL'Ec WJ4>r:,,�, V-opt:t, A ,who is the. 73F-r-A-"-r of the property at which
the following offences were committed,at 'z-'7�r 5 t'Z r%.S r_- —in the Village of Rye
Brook,State of New York,on the, -7-Z day of, -b&C E^y5;WQ0 -i--% ,at or about % y za, ,o'clock.p^v
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COUNT TWO: Gayv:` om `r�wI L�:._ t N�
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All of the above is contrary to the provisions of the statute in such case made and provided.The above allegations of fact
are made by the complainant herein on direct knowledge (and upon information and belief),the sources of which being
an inspection(s)on. l and
Any false statements made herein are punishable as a Class"A" Misdemeanor to§21 . 5 of t"Pt't I Law.
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Dated Code Enforceme icer
APPEARANCE TICKET
You are hereby directed to appear before the Rye Town Justice Court.350 NSurth Main Street.Port Chester.New
York 10573 (Phone# 914-939-3305)at 9a.m.on the 'L1 -; day of .Y�t�".act- 20 "ZZ ,
in connection with your alleged commission of the above described offense.
NOTE: UPON FAILURE TO APPEAR, A WARRANT MAY BE ISSUED FOR YOURARREST
Dated Code Enforcem llt Ot icer
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Mike Izzo
From: Mike Izzo
Sent: Thursday, January 13, 2022 8:13 AM
To: Mark J Kamensky
Cc: Amanda T. Magana; Steven Fews; Tara Gerardi; Laura Petersen
Subject: Re: Edin Ahmetaj, 275 South Ridge Street
Dear Mr. Kaminsky,
Thank you for the email.
Mr. Ahmetaj has two pending permit applications and two Stop Work Orders (SWO) for work he performed without
permits on two separate occasions.
The first application is to legalize interior alterations he performed without permits, the reason for the first SWO issued
in September. This application is pending my review of revised plans submitted by his architect.
The second application and reason for the 2nd SWO in December is for a new exterior storefront and entryway he
installed in violation of the posted 1st SWO and without a permit or approval from the Village Architectural Review
Board (ARB) which is required for all exterior alterations. The ARB meets once per month with the next meeting
scheduled for January 19th at 7:30pm. Mr. Ahmetaj's exterior permit application is slated for this meeting. Once
approved by the ARB we generally require ten (10) days for plan review and permitting.
I am out of the office until Monday but please feel free to contact me if you need anything further.
Thank you.
Michael J. Izzo
Building & Fire Inspector
Sent from my iPhone
On Jan 12, 2022, at 3:10 PM, Mark J Kamensky<markjkamensky@gmail.com>wrote:
Mr. Izzo:
I was contacted by Mr. Ahmetaj concerning the appearance ticket he received to be in Rye Town Court
on January 21st.
I was told that in the meantime, Mr. Ahmetaj was contacted with the requirements and fees he would
need for issuance of the required permits. Assuming he provides your office with the required
documents and fees, is there any reason he cannot obtain his permit prior to the court date? He
seemed to be under the impression that your office had said that he could not proceed until he
appeared in court. We will appear on the return date but he should be able if he complies with your
requirements to obtain his permit and properly proceed with his proposed work.
Please let me know if the above is correct or if there's something I'm missing. Thank you.
Mark J. Kamensky, Esq.
327 Irving Avenue
Port Chester, NY 10573
1
• (914)939-3300
Fax(914)939-0356
markikamenskv@gmail.com
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AC_ORl7� CERTIFICATE OF LIABILITY INSURANCE DATE`MMIDDIYYYY)
10/25/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Virginia Lara
BNC Insurance Agency PHONE (914)937-1230 No (914)937-1124
90 S Ridgo St Ste UL-2 ADDRESS: vlara@bncagency.com
INSURERS)AFFORDING COVERAGE NAIL e
Rye Brook NY 10573-2836 INSURER A: Colony Insurance Company 39993
PIsuRED INSURER B: AmGUARD Insurance Company 42390
Cardinal Builders.Inc
INSURER C
315 West 39th Street
INSURER D:
Suite 301
INSURER E.
New York NY 10018
INSURER F
COVERAGES CERTIFICATE NUMBER: CL21101903278 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
L-XL.LUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY P1.ID CLAIMS.
I( ADD"'Fusser lTR TYPE OF INSURANCE POLICY E" POLICY EXF
POLICY NUMBER M MIDWYYYY LOFTS
X COMMERCU.GENERAL LIABILITY EACH OCCURRENCE S 2.000,000
U AIPASMAOE OCCUR PREMISS Ea occurrence S 100.0�
MED EXP jAny one pens 1 S 5•000
�+ ContfBC:WiI Liability Y 600GL0026253-03 10/30/2021 10/30/2022 -PERSONAL 8 ADV NvJlX3V >; 1.000.000
GEN1 AGGREGATE LIMIT APPLkS PER GENERAL AGGREGATE S 4•000•000
POLICI [g PR:1-
�I JECT lOC PRODUCTS-COMPIOPAGG S 4'000.000
i pIHEH S
AUTOMOBILE L111BILITY COMBINED SINGLE LIMITS 1.000.000
Ea accident)PN1 nU?J BODILY INJURY(Per person) S
B X SCHEDULED CAAU246207 10/30/2021 10/30/2022 BODILY INJURY(Per SMde.0 S
AUTOS ONLY AUTOS
NON-0OMED S
r _
l AUTOS ONO AUTOS ONLY per PER
E Ears DAMAGE
UMBRELLA LIAa OCCUR EACHOCCURRENCE S 3.000,000
A EXCESS LIAB CLAIMS-MADE AR4237795 10/30/2021 10/30/2022 S 3,DOO.000
AGGREGATE
L L DED RETENTION S S
MKfRKF.R3 COMPENSATION PER
AP1D EMPLOYERS'LIABILITY YIN STATUTE ER
TH
nf,4 PROPRIETORPARTNEREXECUTIVF ElEL EACH ACCIDENT S
IOsHCE PRO FABER'eXCIUDED1 NIA
N yes doscnpe und nay to N E.L DISEASE-EA EMPLOYEE S
yes ndcl
D-SCRPTION O:OPERATIONS ba4w E L DISEASE-POLICY LIMIT S
Excess Liability Each Occurrence $2,000,000
A AR4237796 10/30/2021 10/30/2022 Aggregate $2.000.000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addleonal Remarks Schadukr,may W attached N more space Is re""d)
V:IL1GP of Rye Brook Is Included as an additional insured when required under written Contract or Agreement.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS.
( 438 King Street
1 AUTHORIZED REPRESENTATIVE
1
live ur'Uk Nv 10573
1988-2015 ACORD CORPORATION. All rights reserved.
ACOA::2',(201C.'^3) The 1.J—)RD name and logo are registered marks of ACOhJ
NYSIF
New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y. 10007-1100
I nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
ait- TT Ea
^^ ^ ^^^ 455565677
BNC INSURANCE AGENCY
for'. ■,
90 S RIDGE ST `
RYE BROOK NY 10573
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
CARDINAL BUILDERS, INC. VILLAGE OF RYE BROOK
315 W 39TH ST#301 938 KING STREET
NEW YORK NY 10018 RYE BROOK NY 10573
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
M2370 847-2 745419 09/04/2021 TO 09/04/2022 10/26/2021
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO 2370 847-2. COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/fWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
NAZMI AHMETOVIC
1OF1 FOR CARDINAL BUILDERS INC
THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT
OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN
WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE
EVENT THAT. PRIOR TO THE DATE OF THE ACCIDENT. THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN
CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR.INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 736475578
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Approval Date: J A._ N 9 2022 SE3L#
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