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HomeMy WebLinkAboutFire Inspection Certificate 2024-2027 w w d V x � H � wzNw � Lw a a x x >0 zwa W y3 � w � xx A Z H O � M c, A O www0* w � q W � z HgHOw � z w a HA cL; z a a W � ,•,/ ^/ � � w � V V � � � N N N n 00 p4 U O O 0.4CY � Q � V 9 w w w o A z ; .. cn H a x z A W a 4RI�jO�je Zm cu � QJ,/�. .F15'9a2 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`1 ���.I S / Ac 'e-T-- DATE: ,A) -2Z- Zoe PERMIT# �• L Ste' �'� : ISSUED: C I SECT:BLOCK: LOT:24 LOCATION: ° n ` ©CLIP-p OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... TI ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION f _ ❑ NATURAL GAS -p `U I-J A t" ( K Jt -Jr, C ❑ L.P. GAS ,J W o7tk r OItA CA, ❑ FUEL TANK ❑ FIRE SPRINKLER I / ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL [� OTHER �yE[3RCb - O�` Zm cu � 1982 BUILDING DEPARTMENT AS VILDING INSPECTOR SISTANT 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 : ��C3 r c"J� STQ FF T DATE: ! 4;'-w PERMIT# ISSUED: SECT:IVY, BLOCK: , LOT: LOCATION: (- ' ISe- 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 ❑ NATURAL GAS ❑ L.P. GAS T %L t` S ❑ FUEL TANK / J ❑ Oe FIRE SPRINKLER A-�P P L, o A �J ❑ FINAL PLUMBING v ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BUILD MENT L \� VI E OF R OK SEP 2 5 2024 938 KING ET RYE BR NY 10573 -0 VILLAGE OF RYE BROOK �v BUILDING DEPARTMENT FIRE INSPECTION / OPERATING PERMIT APPLICATION FOR OFFICE USE ONLY: _1 /3o/0m Fee Paid: S `� Inspection Date&Time: O� c e T, aoa 7 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. ,is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting that a Fire Inspection be condu ed 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: -16 60,(UIT T(L6-6'I l?y� �nl y SBL: Zone: 2. Business/Occupancy Name: NYS Use Class: 3. Property Owner: l&NMN K• M4L0,0NAD Address: S5(o Ft,7Pl'—SlageT g4tlr b Phone# 9(q-f�o�_1-134"1 Cell# email: 5. Business Owner: Address: Phone# Cell# email: 6. Emergency Contact: Address: Phone# Cell# email: 7. Inspection Escort: Title: Phone#: Cell#: email: 8. Provide a brief description outlining the current and/or intended use of the property: KICIr FAPLGy f2OPe 0 Y OUT Xl fV2 mil? 9. List all Hazardous Materials: 10. Occupant Load: Existing: Proposed: Other: 11. Date&Disposition of Previous Fire Inspection: ❑ Pass ❑ Fail 1 6/1/2024 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: i?t%NAN K. Wt og1 ADJ ,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 ,-) ,for 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. Sworn to before me this Sworn to before me this -210 day of �i , 20 A.1 day of , 20 Notary P blic Notary Public SiZn—atulre of Pr erty Owner Sig,natuire—ol AVpfiocant 9&AI I-V A 14,4WN40 &,NAN X- )Y t,)&,42V Print Name of Property Owner Print Name of Applicant JOHN M SUOZZO NOTARY PUBLIC,STATE OF NEW YOM Registration No.01SU6070919 JOHN M SUOZZO Quatlfied In~cheater County YOW My Commission Expires Mardi 11,20H NOTARY P STATE NEW Registration No.01SU6070919 _ tlon Qualified In Westchester County My Commission Expires March 11,20M 9 6 1,2024 �°oy wii Z y VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.lyebrook.o_re TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino October 17,2023 Via 151 Class Certified Mail Renan Maldonado 95 Grant Street Rye Brook,New York 10573 Re: 95 Grant Street, Rye Brook,New York 10573 Dear Renan Maldonado, 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.B,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, November 17,2023,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 Fite 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 you. Steven E. Fews Building&Fire Inspector stevefews ,=yebroo .or cc: Laura Petersen,Office Assistant /to o -• M LO CO O w O N o ` u) to a 'to 0 a C 0 r�oo M r Ln 0 r. 0 o � v -o Z � � o c � v vLn >, 04C� o4 M n Y c m Z SEW Yp Wcc r 66. O OL V � Q Y en f+f ON 141� U » 110❑0. w� 96T6 h606 2000 02z.2 T202 96T6 h606 2000 02Z2 T202 96T6 h606 20nn nprp Tana § § § k \ § % ® tj , : � //( ! \2s ak yCZ O E ± n O \\\ \\j � 3 >!![4«9 \ 4 )/ \/ ) cr { n0cl00 c � j \ co } � & 00 2 }t ;\«f!ƒ ƒ ] i $/ fff;;§c � ) /ƒ {}}I7\\ } k x *§//R3! m ; weonoor � � r a M = C, a o r K > Ivi co / E 4) o { } m 0-0 / \ cl \ cn n U)L) = $ c / & G � _ ® ` c G ]{ ; m % ! @ C, & = § « Q. . / j2 ( 2Gman � — ° 9 = \ / ke \ § § 8 0 § ._ 7 : 2 ED Z = c� ep2 § \ )of <k >m = \ 0* . 7 !<okt o I u< < . . ■ z \ R p a _ � o a> . LL C� o N 06 o � m (1) Z U ca a'E � a i� o a-:D v+ a ch NLO f� a pZ m W it -o CO F- LU O m } Q fr F- ly } W co�'4*"" c Z LL Q C� O Z o W Z Y Y O COQp � p o a -j of -� m � - o m �' W S U O C Y m U) I- m m a `O c ru Ir rR+ N O cn U) - Ir •a fC Lr) O �a y Va JJ LAC<<• w VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.tyebrook.00r TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino October 17,2023 Via 11t Class Mail Renan Maldonado 95 Grant Street Rye Brook,New York 10573 Re: 95 Grant Street,Rye Brook,New York 10573 Dear Renan Maldonado, 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.B,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, November 17,2023,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 you. Steven E. Fews Building&Fire Inspector tev few ,aebro_ok.org cc:Laura Petersen,Office Assistant /to 0 M CO O O w O 0 N O o M t` � 3 u ifs o c � v x � x M Y _o mZ SEW Yp W �i pC yd o 3�d11�c W U � CIO Q H J .0 Y M C+