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BP22-073
PERMIT # A> bl;) DATE: EXp: 3 / 3 SECTION I 9s 3 7 BL K LOT �• � well TYPE OF WORK / /I o S JOB LOCATION C� rj. S %X OWNER CONTR EST. COST n vCO # TCO # FEE DATE ___ INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT a ALARM AS BUILT El FINAL INSP Ya 67/He '::IrO OTHER APPROVALS ARB BOT PB ZBA OTHER _ VILLAGE ov RYE BROOK WESTCHESTER CouNTY, NEW YORK NO: 22-082 9f32_i` Certifirate of Occupancy Ehis is to certify that of, k J, having duly filed an application on Ha U c�2 3 20 �requesting a Certificate of Occupancy for the premises known as, / z `' , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: 1_-2q.31 Block: ) Lot: /• I and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.(:;�—d , issued 2 20 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: R-3 Q /? Construction: F/ for the following purposes: 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 heights all be made,nor shall the building be moved from one location to another until a permit to accomplish such change has en t ' om ilding Inspector. Building Inspector,Village of Rye Brook: Date: MAY 2 6 2011 DBUILDIl' TMENT For office use onl PERMIT# ��-v�3 MAY 2 3 2022 VILLAGE OF RYE BROOK ISSUED: nj_—a3 aQ� 938 KING STREET,RYE BROOK,NEW YoRK 10573 DATE: .'s—a3—�� VILLAGE OF RYE BROOK (914)939-0668 FEE: t C)3,�— PAWAt BUILDING DEPARTMENT wwW,ryhrookerg 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 t►itt►■t/►►/►tit►tttttt►it►►/►►i►►i►►•itttitt4tt►tt/ttttt►■►►ii►iittttt►►►itttit►flitiiititttti►tt►ti►t►iitttttttt►tttt►ft►►• Address: /3�2_ i� G/eaW Ae. Li/. RJVe Z?kX)A' Q Occupancy Use:Rt�:3/d BhITJ�YL Parcel ID#: I e19. 3 y 1—/,/ Zone: /� 4i'6 ,�, Owner:.�f'b/; .�' "'e- /q 36' Address:Z,g /)i"z- 64�U5 ble. �J. I�y�,C�a ,Al 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: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: b4F being duly sworn,deposes and says that he/she resides at /5,9- (Print Name of Applicant) (No.and Street) in /Q yE &OOK ,in the County of �V937_CN55 797� in the State of that (City/rown/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:$ 463 erp 6) for the construction or alteration of: 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 20 Sworn to before me this 20 day of MAY 0 day of MAY , 2022 ignature of Property er tore of Applicant PrZame Propertyyer j� Print Name of Applicant C> ('�VJ Notary Public Notary Public ROSA PAOLUCCI ROSA PAOL4q Al Notary Public-State of New York Notary Public-State of New York No.01PA4948901 No.01PA4948901 Qualified in Westcheste,County Qualified in Westchester County My Commission Expires Mart n 27.2023 My Commission Expires March 27 2023 �E BRC cu � '9a2 BUILDING DEPARTMENT ❑ ILDING 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: ' G\ � DATE: PERMIT `� 1 ISSUED•' '#� ! �- � �'ECT: BLOCK: LOT: LOCATION: I Ca T�J y� y��uV� C� F �`�`� OCCUPANCY: ❑ VIOLATION NOTED THE WORK ISss.../, 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 ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING Cl CROSS CONNECTION FINAL ❑ OTHER QyE BRC��. t7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR SSISTANT 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: { Ad DATE:(9? -2-2 PERMIT#- - `-�� ISSUED:SECT: BLOCK: LOT: LOCATION: N "�G �� (SLd� \�� OCCUPANCY: ❑ 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 /l ❑ NATURAL GAS `-� G \V -'�2k ❑ L.P. GAS fo ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER 4ye Bkj� O 2m 10 '9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR AASSISTANT BUILDING INSPECTOR VILLAGE OFRYEBROOK ODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - -- - - - - - ADDRESS : Ci6x (zj-"-oQos DATE: S ' PERMIT# ,�U ISSUED: f'Z SECT: BLOCK: LOT: LOCATION: N ( V�1�� C OCCUPANCY: z + ❑ 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 0��� n A ` (_ �> ❑ NATURAL GAS ` S w ca.6 f PC ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CIOSS CONNECTION FINAL ❑ OTHER N N w ■ N � � '�.� ,a o Ln cn ow 9479, U r q 03 CLt M o b ° aua v q ' N c v u �_ to � o > � w © o a0 A x O h� O C/a F, ao a °a ° o O 00 o O Q' r" ad' b 00 W m CJ L■■i �/ �j o0 FG+ z A PIN OC cc hit � Gti h+�l O M A ,`".,, � v� � ^o C� a, � � • ~ W C ■ W W Z a � ~ ��� u ■ ■ r �' Q WzW o o �° orI vll E N © p c o M1 c~n W z � o vo Z o N O �• Cn MM q V p zQ` o �n z cv � z o ,0 Q■1 W � f� _ ������994994;4;4;414;4;44944444404444p4144444 II 1 �' l; BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAY Z 0 2022 938 KING STnET RYE BRoox,NY 10573 �-- (914)939-0668 VILLAGE CIF RYE BROOK BUILDING DEPARTMFUT www.ryebmk; Q _.._�� INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: Permit#: v plication Fee:S Approval Signature: Permit Fees: $ i Disapproved: Other: 1 Application dated:! t o�C)� is hereby made to the Buil&g Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an 4xistinj building,or for a change in use,as per detailed statement described below. ���,,,,,,,,�� n 1 1. Job Address:/3a ��Yi1C. 6ea-76 De `!/, /1�"/� /W /SBL zone: 2. Proposed Improvement.(Describe in detail): d�1obc-E 1 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No:>L Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an exts g automatic fire suppression system(Fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...) :No:,_Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(1 fam.,2 fam.,comm.,etc...)Prior to Construction: After Construction: . 6. NX State Construction Classification: � � N.Y.State Use Classification: L/ 7. Property Owner;L�� �I�,t� _��1 V��1//3C Address: Z / CAri / O e �✓ 4 / /r/�/ Phone# ql'l+-78/''�9028 Cell# 9l�—907' SFS6 7 email: ea�er.��e@ r � ��'►� 8. Applicant:SO4QV*-.b)>J" 3E _Address: .IN"A2t%wt6 J-v.w, 'y�,8 All Phone#�/7 '�i�j/— ny& Cell#_ y0%'Vi 'f email:G�'%LLh@l�Bl7iSB q�trsi/,G'�j�y 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address; Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $&3/ 000 (NOTE:The estimated cost shall include all labors material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: Finish: (1) 8/12/2021 D u BUILDING DEPARTMENT MAY 2 0 2022 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST SEAR 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 )}gas:_,, 31, J� Ji/�N� /V/ ,residing at,�JT ` SUS ��P. l.�I• /9yP:-geak,Al,y. (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; ,)f R—t- C3k'�7V5 'M. I/c577" , 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. 4 7 ig o roperty Owner(s) (Print Name of Property Owner(s)) Sworn to before me this 20 day of MAY , 20 22 1R& (Notary Pub c) ROSA PAOLUCCI Notary Public.State of New York No.01PA4948901 (2) (qualified in Weact*"Cotty h�jrrn ts�tir�A#,ta��,2G7� 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. TATE OF IN YORK,CO OF WESTCHESTER ) as: J%AI,E y�1 � ,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 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 20 Sworn to before me this 20 day of MAY , 20 22 day of MAY , 20 22 ti gnature of Property bwner e o Applicant Print Name of PropeILA� r Print Name of A 'cant c� c a. Not4 Public Notary Public ROSA PAOLUtCCI ROSA PAOLUCCI Notary Public-State of New York Notary Public-State o1 New York No.01PA4948901 No01PA4948901 Qualified in Westchester County Oualfied. Westchester County My Commission Expires March 27,2022 My Commission Expires March 27,2023 (4) 8/12/2021 BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 Office 914-347-3596 Fax CERTIFIES THAT Upon the application of: Upon premises owned by: A Perfect Goldman Electric (E) - Louis Mon Steven DeNise- 48 Potter Avenue 152 Doral Green Drive West New Rochelle, NY 10801 Rye Brook, NY 10573 Located at: 152 Doral Green Drive West, Rye Brook, NY 10573 Application Number: 2008730 Certificate Number: 2008730 Section: Block: Lot: BDC: 160 Permit Number: EP2616 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 152 Doral Green Drive West, Rye Brook, NY 10573 2nd Floor was inspected in accordance with the NYS and NFPA 70-99 and the detail of the installation, as set forth below, was founded to be in compliance therewith on the 15 Day of September 2008. Name Date Quantity Rating Circuit TNpe Receptacle(s) 6 Duplex Switch 8 .AX Fixture-Lummaire 25 Incandescent Receptacle 10 GFCI This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be akered in any way. This certificate Is valid for work preformed before date of Inspection only. mkuta Wednesday,September 17,2008 Page 1 of I