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• 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 : t DATE:
PERMIT# ' ` } ISSUED i: SECT: BLOCK: LOT:
LOCATION: ' I �1�/ ��� OCCUPANCY:
❑ Violation Noted THE WORK IS... Er PASSED ❑ FAILED 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
❑ CROSS CONNECTION
[],,FINAL
OTHER
DR
CC IEVIE
BUILD R MENT RJUL 2 0 2023
VI L rE F RY OK
938 KING ET RYE BR o NY 10573 VILLAGE OF RYE BROOK
4 -0 BUILDING DEPARTMENT
FIRE INSPECTION / OPERATING PERMIT APPLICATION
FOR OFFICE USE ONLY: 1 3Ci,,Or 1
Fee Paid: $ � � S� Inspection Date&Time: cock </41 o7'y :)043
FEE SCHEDULE: Re-inspection Date&Time:
Triennial & Private School Annual Inspection: =$450.00
Public Assembly Annual Inspection: <100 People= 525.00 >100 People=$775.00
Application,dated: C '7� ,is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting
that a Fire Inspection be conducted at the building and premises listed below for the purpose of issuing a Permit to Operate the business,
private school and/or place of public assembly in conformance with the Code of the Village of Rye Brook,the New York State Uniform
Fire Prevention &Building Code, Title 19 NYCRR Part 1201, and all other applicable local, County, State &Federal laws, rules &
regulations,as per detailed statement described below.
1. Address: P,r SBL: _J-�/i 3 ZoneO—/P
2. Business/Occupancy Name: NYS Use Class:
3. Property Owner: W11V RI A b�y UC Address:_Z¢ /eyr 91
Phone# q I -?_0 1- Cell## I email:-4HAKAAA)L7�Y 0�,�,l i f�� ;E•C
� �U W
5. Business Owner: Ckopt I'yt c t (Address: 0OD V✓C$ C6)V A%k' N -321 RVC'6(ad'NpY"
Phone# Cell# 23Z- LI KS-7 39'e email: a , CANS ti UNbw
6. Emergency Contact: Address:
l�. Coy
Phone# Cell# email:
7. Inspection Escort: f l0/?C/5co (aLnO Title:Phone#: Cell#: _73 a- `/861 73V email:
8. Provide a brief description outlining the current and/or intended use of the property: Po.i WIU a
cAx„ i\• Nb
9. List all Hazardous Materials:
10. Occupant Load: Existing: ( Proposed: Other:
11. Date&Disposition of Previous Fire Inspection: ❑ Pass ❑ Fail
s;t 2/202 t
This application must include the notarized signature(s) of the legal owner(s) of
the above mentioned property, in the space provided below. Any application not
bearing the legal property owner's notarized signature(s) shall be deemed null
and void, and will be returned to the applicant.
STATE OF NEW YORK )
COUNTY OF WESTCHESTER ) as:
Cot o
r���ClScc A ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing application)
and further states that he/she is the legal owner of the property to which this application pertains,or that he/she is the
6051 N i�;5 QWN4X�'ftiTfor the legal owner and is duly authorized to make and file this application. That all
(indicate architect,business owner,attorney,agent,etc.)
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.
Swom to before me this H Swornto before me this Id-
day of I , 20 2-3 day of T- k , 20 _
kc A�n
of ry 1 ota �Pc
Sig ature of Propierty'Ov6er A6 V l .N 9196E �aft,Ty, I tc icant
4w-m I*ftN,--aj fnnu Sco 6q o 6
Print Name of Property OvMer ALVr IN Al* AMU?)uC Print Name of Applicant
KELI Y SAISIOLER
Notary Public, "..,tc o! ,!ew York
No. 01 :>. vU: .::2
Owalified in !�I-s;chester County Craig Evan Hantgan
Commission Expires March 5, 202b Notary Public, State of New York
Reg. No. 02HA6288845
Qualified in Westchester County
Commission Expires 12/30/2025
2
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404 CmtkiewaW
VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A.Klein (914)939-0668 Christopher J.Bradbury
www.ryebrook.org
TRUSTEES BUILDING&FIRE INSPECTOR
Susan R. Epstein Michael J. Izzo
Stephanie J.Fischer
David M.Heiser
Salvatore W.Morlino
August 1,2022
Via 1st Class Certified Mail
Chop't
c/o Mr.Patrick Fitzgerald
116 South Ridge Street
Rye Brook,New York 10573
Re: 116 South Ridge Street,Rye Brook,New York 10573
Dear Mr.Patrick Fitzgerald,
It has come to the attention of the Building Department that it has been over one year since you applied to renew your
Operating Permit for the subject Place of Public Assembly,and as such your Operating Permit is now expired.Please note
that the Code of the Village of Rye Brook requires that your Place of Public Assembly hold an Operating Permit,and that
such permit be renewed by you annually.Please note that in order to renew your Operating Permit,you are required by Rye
Brook Village Code§91-4.13,to undergo and successfully complete a Fire Inspection for this location at least every twelve (12)
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 annual Fire Inspection with the Building Department by no later than,
September 1,2022,which is thirty(30) days after the date of this notice.Please note that the property owners notarized
signature,as well as the business owners notarized signature must appear on the application form in the appropriate spaces.
Upon successful completion of the Fire Inspection,you will be issued a renewed Operating Permit valid for one year.
Please remember that you must renew your Operating Permit every year 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 Operating Permit.
Thank you.
Michael J. Izzo
Building&Fire Inspector
mizzo e,ryebrook.org
cc:Steven E. Fews,Assistant Building& Fire Inspector
cc:Alena Hakanjin,Property Manager
/to
DRC�
19
406 annft w aW
VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A.Klein (914) 939-0668 Christopher J.Bradbury
www.ryebrook.org
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Michael J. Izzo
Stephanie J. Fischer
David M.Heiser
Salvatore W.Morlino
August 1,2022
Via 1s,Class Mail
Chop't
C/o Mr.Patrick Fitzgerald
116 South Ridge Street
Rye Brook,New York 10573
Re: 116 South Ridge Street,Rye Brook,New York 10573
Dear Mr.Patrick Fitzgerald,
It has come to the attention of the Building Department that it has been over one year since you applied to renew your
Operating Permit for the subject Place of Public Assembly,and as such your Operating Permit is now expired.Please note
that the Code of the Village of Rye Brook requires that your Place of Public Assembly hold an Operating Permit,and that
such permit be renewed by you annually.Please note that in order to renew your Operating Permit,you are required by Rye
Brook Village Code§91-4.13,to undergo and successfully complete a Fire Inspection for this location at least every twelve (12)
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 annual Fire Inspection with the Building Department by no later than,
September 1,2022,which is thirty(30) days after the date of this notice.Please note that the property owners notarized
signature,as well as the business owners notarized signature must appear on the application form in the appropriate spaces.
Upon successful completion of the Fire Inspection,you will be issued a renewed Operating Permit valid for one year.
Please remember that you must renew your Operating Permit every year 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 Operating Permit.
Thank you.
Michael J.Izzo
Building&Fire Inspector
mizzo@ryebrook.org
cc: Steven E. Fews,Assistant Building&Fire Inspector
cc:Alena Hakanjin,Property Manager
/to