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HomeMy WebLinkAboutMP22-016 4�LG v5.Vw�v VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S.Rosenberg (914) 939-0668 Christopher j. Bradbury wwwv.ryebrook.or TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE February 25, 2022 Blind Brook Club Inc. PO Box 229 Purchase,New York 10577 Re: 980 Anderson Hill Road, Rye Brook, New York 10573 Parcel ID#: 129.58-1-1 Mechanical Permit#22-016 issued on 2/3/2022 for Sprinkler System Repairs This certifies that the fire sprinkler head,installed under the above captioned permit, has been satisfactorily completed. Sincerely, Michael J. Izzo Building& Fire Inspector Ag QyE BRC�k 1 982 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.Mbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : I AI'E: �1-� Iz PERMIT# `2� '' V ISSUED: �iECT: BLOCKLOT: w �- LOCATION: O�` '� , OCCUPANCY: �- ❑ VIOLATION NOTED \THE WORK IS... ACCEPTED ❑ REjECTED/ REINSPECTION ❑ SITE INSPECTION1 REQUIRED ❑ FOOTING 1 ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING [I INSULATION ❑ NATURAL GAS ❑ L.P. GAS - ❑ FUEL TANK ❑- FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER : N � i d• � � x 0 0 O O y u ❑ i C FBI O u u = ii � � w N y •a °CJ r O b ^O qvq G UA 1"1 x Lr) 0p CQ � G a v A O Si Ln N C Q �i O L w 00 U az 1 a a a w vay ° CO o ' o H C.o !yam! �i V] on W w `c p C o W rV J W O � �' u w a Cuz j 0Q !:. o ON 00 ICI 0 -° ° Q , W o t z y V, P; W.- O v „ U A w O W '.&�°' . a ++ Fly OLn W O C'1 Q a a © 14 ci Q W Z a w x � � �� b BUILD,r" PARTE MNT L VIL �kGE OF Ri' OOK ! FEB 2 202,2 938 KING ;ET 1R. ,L BR ,NY 10573 L 9}. VILLAGE OF RYE BROOK w BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: \ ]� FEB - 3 201? Application Fee: Approval Date: P4: VIPI?: '"© � Approval Signature: RN Permit Fees:S Disapproved: Other: �;+t dr�,•k ksF:F de 9:kk9;•kik*dF kA•�:*•kae*i:.l•ae ie�d:7F ie k•kxd••kx**:k;F de k9:r.ari:•r.:°:}„�:'rt k:k*•k 9•*k*i:fle:F:lr kir�e•k is k�•ek t 9r k*:F*t'k�F�::Y•k�•kY:d:�Y::F�:is 9c Y kX F$•�:�•*•k:49: Application dated: , Z 0), Z is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit to install or modify a Fire Suppression/Fire Sprinkler System as per detailed statement described below. 1. Job Address: �r��l �� rjO�'I �1 �Gl!L T`�1f bti'�f{- N '-f 2. Parcel I.D.: e—P 9. 578 Zone: 3. Proposed Work(Describe system in detail including suppression agent): 444 4. Number&Types of Fire Sprinkler Heads: 5. MY State Construction Classification: � N.Y. State Use Classification: �} 6. Estimated Value of Job: $ / )so , (Value shall include all labor,materials..fixed equipment,professional tees,and materials and labor which may be donated,gratis.) 7. Property Owner: IVfiX (AtWm C ddress: ��fb ''ll A-c" L- /�t ' A.4,� Phone# 'y�9.39 DSO Cell# email: Applicant: S a- S !jn' 6-1 w- Address: r--4 � fi Phone#ed-dF Cell# / email Architect/Engineer: /4 /3 Address: Phone# a Cell# email: p' Sprinkler Contractor. tf-t � Sx,A E*.o Address:.2is r ice- ��'' , •" Phone# 3;S S Cell# I?/q -'169 32,41-7 email: '"s S •t F r., 1 8/12/2021 This application must be properly completed in its entirety and must 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 YqRX,COUNTY OF WESTCHESTER ) as: o — iQ ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual sigm as the applicant) and further statg that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the ,'L( _ �,,.e nt��, ".r ;TW for the legal owner and is duly authorized to make and file this application. (indi to architect,co tractor,agent,attor ey,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. Sworn to before me this a Swom to before me this i day of tt` .4 , 20 L--1 day of lF bLw- ,20 'ZZ L. ignature of Property Owner Si a of Applicant P int Name of Property Owner Print Name of Applicant Notary Public SHAM MELILLO Notary Public, State of New York No. 0!"'iE61 t 0063 ALEJANDRO A GARCIA MONTAS Q.raPified in 1h'estch tester CountyNotary Public-State of New York ^nl�,� NO.01GA6383865 Commission Expires January 29.20 f Qualified in Bronx County My Commission Expires Nov 26,2022 0 z 91121-n21