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• �9�z 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 - - - - - - - - - - - - - - - - - - - -
7
ADDRESS: �J `\ C C•Z �I ► 9 DATE: O / y
pp"" J C/
PERMIT# 'F l� ►�E+- /^�5�C.C \1 ISSUED: SECT: /7 f 2 7 BLOCK:_LOT:
LOCATION: S U AR `1 OCCUPANCY:
❑ Violation Noted THE WORK IS... /PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
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❑ Natural Gas -�
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
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4.STANDPIPE,CABINETS&FIRE DEPARTMENT CONNECTIONS
a.901.6.1.Is the standpipe system inspected,tested&maintained in accordance with NFPA 25-14. a. _ _
b.901.6.1.Has the required flow test been performed within the past 5 years as per NFPA 25-14. b. _
c.912.2.3 Are standpipe FDC threads compatible with fire department standards. C.
_ ✓ _
d.905.7.Are cabinets containing fire fighting equipment unobstructed/unobscured. d.
e. 905.7.1.Are cabinets containing fire fighting equipment properly identified&labeled. e.
f.912.2.1.Are exterior FDC's fully visible&recognizable from the point of fire department access. f
g.912.4.Are all FDC's unobstructed and available for immediate access by the fire department, g.
5.Ems,MEANS OF EGRESS&OCCUPANCY
a. 1031.2.Are exits&exit enclosures continuously maintained free from obstructions or impediments. a.
b. 1031.3.Is the means of egress free from obstructions including accumulated ice&snow. b.
c. 1031.6.Are exits maintained unobstructed by furnishings,decorations,draperies,mirrors,etc... C.
d. 1031.7.Are existing emergency escape&rescue openings maintained as per this section. d. _
e. 1031.10.Emergency lighting equipment inspection and testing. e. X _
f. 1010.1.Are egress doors provided and maintained as required by this section. f _
g. 1004.9.Are all spaces having an assembly occupancy posted with an approved occupant load sign. g.
h. 1013.1.Are exits marked by a properly located,approved&readily visible exit sign. h. X _
i. 1013.1.Is the maximum travel distance to any exit sign in an exit access corridor 100 feet or less. i.
j. 1013.4.Are tactile exit signs complying with ICC/ANSI 117.1.provided as required by code. j.
k. 1013.3.Are all exit signs illuminated at all times. k. )(
1.1008.1.Are the means of egress&exit discharge illuminated at all times the building is occupied. 1.
m. 1018.3.Are public aisles in group B&M occupancies maintained at least 36"wide where fixtures m. _ ✓ _
are placed on one side of the aisle&at 44"wide where fixtures are placed on both sides. ✓
n. 1018.3.Are non-public/non-accessible aisles serving less than 50 people maintained at least n. _ _ _
28"wide,or at least 36"wide where serving 50 or more people.
6.COMBUSTIBLE STORAGE&WASTE MATERIALS
a. 304.1.Is the building(s)and premises maintained free from accumulated combustible waste material. a.
b.304.1.2.Is property free from weeds,grass,vines or other growth capable of being ignited. b. _ ✓
c.304.2.Is combustible rubbish stored so as not to create a nuisance or hazard to the public. C.
d. 315.3.Are combustible materials properly stored&separated from ignition sources. d.
e.315.3.1.Is storage maintained 24"or more below the ceiling in nonsprinklered buildings, e. -A _
and 18"or more below sprinkler head deflectors in sprinklered buildings.
f.315.3.2.Are exits&exit enclosures maintained free from stored combustible materials. f _ ✓ _
g.315.3.3.Are boiler,mechanical&electrical rooms maintained free from stored combustible material. g.
h.313.1.Is building maintained free from stored fueled equipment.(motorcycles,mopeds,mowers,etc...) h.
7.ELECTRICAL
a.604.1.Is the building free from modified/damaged wiring,devices,appliances,equipment a._
and maintained free from electrical hazards.
b. 604.2.Are electrical service equipment areas properly illuminated. b._ ✓ _
c.604.3.Are proper working space clearances provided&maintained for electrical service equipment. C.
d.604.3.Are electrical service equipment working spaces free from any stored materials. d.
e. 604.3.1.Are all electrical control panel room doors,panel boards&disconnects properly labeled. e.
f.604.4.Is the building free from unfused multi-plug electrical adapters. f
g.604.5.Are electrical extension cords being used in a safe manner as per code. g.
h.604.6.Are all junction,switch&outlet boxes fitted with approved covers or plates. h.
i.604.6. Is the building free from open-wiring spliced electrical connections. i. _
j. 604.8.Are electrical motors maintained free from accumulated oil,dirt&debris. j.
k.915.1.Are Carbon Monoxide Detectors installed&maintained as required by this section and by 1103.9. k.-
INSPECTOR: DATE: 7 J Z Q
-2-
Revised 6/I/2024
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(►.(i06.;3.Art,approved ntssn(1fudirc:d,piuturistl ti)pt;l(xr,{t(xl u(Ijttcorst to c:ac11<:c;
fl(n►1:s resulin};; In 1�'ntr:l"AIEu(:1':n(•v I)(►Ntrr t Itin;l�;r,H:vA'rtnt 1 itit;tutor call ytrttion rnu ull h.
C.606.7.Arc koy:1 fi►r clevsttor car doors.k:tiro to ttu•tnlont vul'vice \t'1'!vl'Allt` — —
d.115.:3-3.Aro(:I(tvsltur machine rooul:s utttiultsti.n(xl ireu tion.r nkl►r•(xl(x►nlhunkilt►p ntatcriu location. C.
(..pr1'3W.N.I.Are elvvsttor rnacllin<� C.
rcN7tls tool l tnatiut tirsecl nrtohitr�tct«[ it all kimo s.
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').(•()MMM'K(7At 1►r't('rtH'n;t It.906-1. Aro port,►blr..(-'Innis 1C tiro r.Ykia};uiHlters3 innttdlcd witilifr:1(1 feet of cooking e(lttipment.
b.1►(►d.12.ti.b the tiro protoctiou n(luipntetrt iunlx:ct(:(1,taytud,1G tr,ui.rltstirl(esl tut p(:r tiectiull�)Ol.h. a.
�:.�(1�1.12.ti,►„.Are tultusrlsttic fire ex.tin[;ttinl1i11g H.yntunl( Iurvicc()at lca�st evuly()uuortthH. b —
d.�)(v1.12.5.3. c. - -Are fu.'Iihla linkn,�c stutornrttic Hln irlklcr lsusuln replaced ruutlutlly. -�
1ItI11 l22^.5.11. Are}o-l-cu ,trUINS provido(I and insdtllcd ssv requirml by Village.Gale. d f:11'r1 I(N13.I q,(KIII 122-6.Aro 1►r0-Mv.truf»pruporly uluilttaiuoll a.4 per 5tatu turd Village Cork. C. -�
t!I. a (22 r►('. (22-9.Are all sorvicc,rtutiutuusutcc,chi.ropuir recor(1:c fbr
1 by � ��rclutcl
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0 -tivvvmS pinnbin;snui►ttiuc( oil s.11equire< Vilfa; Co( g'
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a.1:1'M]fi01.1..Are:ill lleftkils}!stpplinn(x n properly ir1 itilllocl,k tnaintftinod in a M*working condition. a.
1i 11'M1 603.2. Are 4111 filet-(u►,rsin}!u[►plisutceH c�I:(muipntunt collrsccked to soft stpinov(:(1 chimney of vent. b,
c•I;I'Ml(►0:3.:i.Arc:I►usrtia}!f1p1►lisuu:e s utaindtined witls proper cluarsusl:eH thin)coutbutitible makTial.
d.(11M)60:3.4.Aro naf`ty<-i"It1•uln tin•filol..burning(xlui.pt►scnt 11111intained i11 ufif(•ctive wit], o[►ctYttiolr. —
l(i(1:5.5.In the filet-bunsil,l.('yuiprucrlt pruvidall ns s►/(equate curllhtl'tticnt ck Ventilation tole.
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(YroR 1�'llb:t,^11r`lt'U:n,•imor;IIP��(.'It,l'1'll$t a�C� i:t' '
in all approved, 1/11el(Id(k;nutdsl IR I.A A(t+:4
in lilt opproved lunation within MY ofy halcuuk 1am tbtu tu0',f�zrl fie etch Provided
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I► 2:404.:1.4.Aru(linpeunc;r oparrttin},iu:+UYtctiunn euunpicuun:sly pllntud(Ill evkry fuel IIiH[)CnH(r.
c.2304.2.4.Are fitel�(linpert sal;,susolrvtrslctud&in c:leas.view of tilt,attcndarll at all titncH. b' _ X
cl.2.30:5.5.Are approved I1/rrtstl►Ie ti►•c e,rtitltrttfnhcrn euulplyi►tt!with tiec:tion 9Ofi with tt mfllinluxrl rating of dC.. T' . X
2^A:''(1-11:(:'providre(.w.IuarUcxl not Inure that►7ti'tiolll pulnpH,lisp<rtWit' dlt fin 11111 gpt`ningH.
a.1,:10�,(i.Are.warnin};:ri}(,IH provided cat.po.-Ited within MitjIt of r..1u:11 cHnlx:lt•.W1•a;,j per thir,HCCtiU11. c
f:2:105.7.Am woc(lH tuuf other c"'oulbuntiblu material l kopt sit I, it l0'tlultl tilCl-11ttt1cllfn,c tti
1l.;!306,4.Are al►)W I!ronnd tanks pruvidod with vollb.,14.Impact prutectiolt. P pinclnt.
Is.2:10(i,ti. Ave al,uvc:-}! ouud tsulk:►provido(I with H(:e(nldury nplll eundtifltn(:i1t. �' ---- -�—
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1t d07.2..Are�I.1).,�c. `111(+1►r:1 tin all hstf�rnrtt t rosuli.ly uvailublu olt the.protnitaxl,
b.�407.:1•Asls Hplu:a:s stud irsdividual aotldtitlul.s contablir1)!11str-Inaw phl lorly Inll(:led&ideutifled. a.
(1.5011�1,2.AI(:stttu'ud 1u1r^nittr.,pruvidccl will,a)provttd u:(:o})11a1'y"I'll'coudtit1t11ent. b.(120):3.7,1.Ar(:[►r(lpur No tiM(/KING si,, p.rtwidul d pr..r thin nc:(:tiutA. C' �n
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IL 40.1.1.1H all rI{ry►rovo(l fire:unity,k,ovacutttion plrul pre.. arkul(fir tNalutrliticxl tilt the b31i1c(ittf!/occunatacy. a. l
h.�05.1.Arti:c:urof}R(ru(:y(wurtuttluu drtlln runductcxl Iu rhrt il)tk:tvuln Wt npsx:if ed In Tablo 405.2. v
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0.300.1.Are ►)row: 1. I"1 prupol•1,y p1mu'd&plainly vinlhlc ti'u,n the yU•eef.. d. '----
1 (l key buxl,'I(knoa I>,►a(a,j Inllvld"(I,01M):rly h►crtrrd(k,cx[Itf.pped with the proper k.eyn• e. ..� _
E 701,J.tH all wgllillod 111-(,..I",nintiu(e,tatcxl(:mvitructiuu.I Intl Ittulndtltt(xl 11',pet Kula.
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BUILDING DEPARTMENT
VILLAGE OF RYE BROOK JUN 3 0 2025 ID
938 KING STREET RYE BROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
www.ryebrookny.gov BUILDING DEPARTMENT
FIRE INSPECTION / OPERATING PERMIT APPLICATION Q
FOR OFFICE USE ONLY: / ' 3J�M
Fee Paid: $ ` Inspection Date&Time: ;:f" 4/C/ , a0
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: 2 is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting
that a Fire Inspection be donduct&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: Mc rTl7C�� P��i so ��� � SBL: Zone:
2. Business/Occupancy,,Name:Fk��" OF OftWML NYSp Use
l�Class:
ti
3. Property Owner: �N 1�k, g a � Address: 4 rlC I-T� V-�5 bf�ZA,
Phone# I'',K' 'JW5_ Cell# email:AP IW.I lip W(J�i;,'
5. Business Owner: �WIM 4A62 ck1N Address: 4 Nt ftuz N?w, U T Tc 211
Phone# i7?jr'( 5�' Cell# (05b- (tiob email:
6. Emergency Contact: Address: 5frA '
Phone# S A A Cell# S email: S.4*
7. Inspection Escort: 0a awf Title: OIJK Y_ ?? —
Phone#:jLA} 253- (,45'-I Cell#: ��• 7i� email: �f�sR �ni� G�SN1�1
8. Provide a brief description outlining the current and/or intended use of the property:
WWII PRAC,Dc.0 - PM WCPft_ T1-#1,5 ZA& I
9. List all Hazardous Materials:
10. Occupant Load: Existing: Proposed: Other:
11. Date&Disposition of Previous Fire Inspection: ❑ Pass ❑ Fail
i
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:
ti �0 t h ,being duly sworn,deposes and states that he/she is the applicant above named,
(print na a ndividua 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
kAdga 2i, KV,,-- ,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
day of� s),,.r, 20 day of J ,20 Z
i
of Pu lic Notary ublic
Si ture of roperty Owner Sig icant
Print Name of Property Owner Print NwMe of Applicant
KELL Y S AN'r)L.FR ALENA NAKANJIN
Notary Public, c+=ate of Nlew York ERNo.
plJlLlC�fOFN 0�°AE:"i�' �:2 N��tleeNG�uali`i-d in N/Eaichester County din 7chhtNC
commission Expires Match 9, 20,'Z,U Ce�I�oaEs �M
2
1 lu2a
' BUILDN� TMENTMRE2
VIL E OF:; K 938 KING ET RYEBRQ c��NY 10573(914)9 _A 39-5801
FIRE INSPECTION / OPERATING PERMIT APPLICATION
FOR OFFICE USE ONLY:
Fee Paid:$ L- .5() P(L Inspection Date&Time:
FEE SCHEDULE: Re-inspection Date&Time:
Triennial& Private School Annual Inspection:=S450.00
Public Assembly Annual Inspection: <100 People=$500.00/>100 People=$750.00
Application,dated: 3 2_to I kci is hereby made to the Building Inspector of the Village of Rye Brook NY,requesting that a
Fire Inspection be conducted A 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 ofRye 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®ulations,as perdetailed
statement described below. n
1. Address: i0 Rile W ae, 'MOM 0�,S-tt.2,111,F�e,&o MI SBL: 7- 1- Zone:Cam' P
tios'l3
2. Business/Occupancy Name: Nh '%ca -Ntraaau Gwvt A- Wtt�c�2l�Cr�P.C.NYS Use Class: A(AClj[Cf}C
3. Property Owner: W /4a pENLr�, L I C- Address: Z¢- gYC P/
Phone# gli4-'` V 1 -4f,Q5- Cell# email: f(*&ftj�Z/Q?"1AU1,9I0k_•C_Aj
5. Business Owner: NeMU 116\ bAeV1 Address: 4p5 0Ver4m" S-T"t U"&' t+'AH 1311 0
Phone# (1411S3-64-1�1 —Cell# (b01) 6198"-62-69- email: a o:,1.G-Wl
,—U
6. Emergency Contact:��Qy� �o� r✓Ine�n Address:
Phone# LOt 4-).)-53 -6"1 Cell# (6 61) b59--61lo email: '
7. Inspection Escort: J A-A Title:
Phone#: Cell#: email:
8. Provide a brief description outlining the current and/or intended use of the property.
9. List all Hazardous Materials: Ail
10. Occupant Load:Existing: Proposed: Other:
11. Date&Disposition of Previous Fire Inspection: ❑ Pass ❑ Fail
I
6/1/18
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:
k�&TTA C(1 P—N ,being duly sworn, deposes and states that he/she is the applicant above named,
(print name of indhidual 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
US1N)C5S GWQ(:�� ,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 2�f T/4-
Sworn to before me this
day of ` , 20 day of
IRWC14- , 20 t 7 Nota�y
jubliqj MotPubli
Signature of Property Qwner - W Ai Rtlt gakJ1;LC_ Si ature of Applicant
Print Name of Property Q w w ICVV,-_ wily Rlat.S AMTYJ u& Print N e of Applicant
Y-�rk r�
!r w York
�Cbur'y
_,on ExN,,e, March 9, 20'
2
6/1/18