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BUILDING DEPARTMENT
0 BUILDING INSPECTOR
+p 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 Uebrookor¢
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - -- - - - - - - - - - - - -- -
ADDRESS : /-3 Z S ocw L h DATE:1 -Z L - z 0Z
r--
PERMIT# ",-Q- 7=�j S P!C ISSUED: SECT: 7 BLOCK: LOT: _
LOCATION: F1 F--C /,j s e e G OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... 9 ACCEPTED ❑ REJECTED/ REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ NATURAL GAS /'1 G y/O[ �/� -�f C q-wc
❑ L.P. GAS
❑ FUEL TANK
❑ FIRE SPRINKLER D 7-2
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK Initial Inspection Date: ❑Pass
STEVEN E.FEWS 938 KING STREET,RYE BROOK,NEW YORK 10573 6 - Z 6 -2o2s-6 Fail
BUILDING&FIRE INSPECTOR (914)939-0668 - www.ryebrookny,gov Re-Inspection Date: ❑ Pass
s fcws(aiycbrooknv.P-ov
[� Fail
FIRE INSPECTION Rymin', NOTICE, Oh' VIOLATION & ORDER TO REMEDY SAME
Site Address: r Zone: _SBL: 122- 2) ,/ - 7
Occupancy: L p S &-'V' State Use Classification: a
Business Owner: b b,0A Phone: R �— J(o y" g'Zflr
Building Owner: W 1,5 Q 1 Phone: y/" VoQs,-,
Emergency Contact: k,o'y d S c Phone: 9/7- 3(o y— Q
Building Representative in Attendance: ,O.aa ♦.� +- Sc�Q�DG.� .
- -----------------------------------------------------------------------------------
Take notice that the following violations of the New York State Uniform Fire Prevention&Buildin Code and/or the Code of the
Village of Rye Brook were found to exist at +, 1 at., Cz I in the Village of
Rye Brook,NY on, =(AVe, 2,le Tk 20 Z.T.The person or eNity served with this Order to Remedy shall
immediately commence to correct all listed violations and shall completely cure each violation described herein by no later than
- r h ,which is thirty(30)days after the date of this Order to Remedy.Furthermore,
upon curing aCj listed violation(s),you shall immediately contact the Building Department during normal business hours to schedule
a re-inspection of the premises to confirm full compliance with all applicable codes,laws,rules®ulations.
BE ADVISED THAT YOUR FAILURE TO CORRECT ALL VIOLATIONS IS A CRIME,PUNISIIABLE[IV FINE,IMPRISONMENT OR ROTH.
------------------------------------------------------------------------------------------------------------------------------------------------
N o 1'rti N/A
1.PORTABLE FIRE EXTINGUISHERS (PFE's)
a.906.1. Are PFE's installed throughout the space&on the premises as required by code. a..X _
b.906.3.1.Is the maximum travel distance to a PFE 75 feet or less. b._
c.906.5.Are PFE's conspicuously located&readily accessible. c.
d.906.6.Are PFE's unobstructed/unobscured from view. d
e.906.7.Are PFE's properly mounted as per the manufacturers instructions. C.�( _
f.906.9.Are PFE's properly installed:<40 lbs.max.5'above floor;>40 lbs.max.3.5'above floor. f
2.FIRE ALARM SYSTEM&SMOKE DETECTORS
a.901.6.1.Is the fire alarm system inspected,tested&maintained in accordance with NFPA 72. a. ✓_
b.907.4.2.1.Are manual pull stations located within 5 feet of exits&within 200 feet of each other. b._ ✓ _
c.907.4.2.2.Is the height of the pull station handle located between 42&48 inches above the floor. C._ ✓
d.907.3.Is a fire alarm system provided in existing buildings as per section 907.3.1 &907.3.2. d. ✓
3.FIRE SUPPRESSION SPRINKLER SYSTEM&FIRE HYDRANTS
a.901.6.1.Is the sprinkler system inspected,tested&maintained in accordance with NFPA 25-13. a._ ✓ _
b.901.6.1.Are the main valves secured against tampering in the open position. b,__ ✓ _
c.901.6.1.Are sufficient clearances maintained from fire sprinkler heads to fixtures or materials. C. ✓ _
d.901.6.1.Is a supply of six spare heads&a wrench maintained on the premises. d._ _✓
e.901.6.1.Are sprinkler heads&cover plates unfinished or of factory applied finish only. C._ ✓�
f.901.6.3.Are records of all system inspections,tests&maintenance reports maintained on the premises. f._ v/ _
g.913.5.Is the fire pump inspected,tested&maintained in accordance with this section&NFPA 25. g._ ,� _
h.507.5.2.Is the fire hydrant system properly maintained,operational,compatible w/NST&tested annually. h._ ✓
i. 507.5.4.Are fire hydrants&fire protection equipment unobstructed. L ✓
j. 507.5.5.Is a clear space of not less that 3 feet maintained around all hydrants. j,
k.901.8.Are all fire protection systems in place and maintained untampered. k.
TINSPECTOR: ---� I " " - u DATE:Acp L b — Z O
-I-
Revised 6W2024
No YES N/A
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.EXITS,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. _ ✓1
d. 1031.7.Are existing emergency escape&rescue openings maintained as per this section. d. _ ✓ _
e. 1010.1.Are egress doors provided and maintained as required by this section. e. _ ✓
f. 1004.9.Are all spaces having an assembly occupancy posted with an approved occupant load sign.
g. 1013.1.Are exits marked by a properly located,approved&readily visible exit sign. g.
h. 1013.1.Is the maximum travel distance to any exit sign in an exit access corridor 100 feet or less. h. _
i. 1013.4.Are tactile exit signs complying with ICC/ANSI 117.1.provided as required by code. i. X
j. 1013.3.Are all exit signs illuminated at all times. j. X
k.1008.1.Are the means of egress&exit discharge illuminated at all times the building is occupied. k.
1. 1018.3.Are public aisles in group B&M occupancies maintained at least 36"wide where fixtures
are placed on one side of the aisle&at 44"wide where fixtures are placed on both sides.
in. 1018.3.Are non-public/non-accessible aisles serving less than 50 people maintained at least M. ✓ _
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. ✓ _
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. C._ 7 _
f.604.4.Is the building free from unfused multi-plug electrical adapters. f. X_
g.604.5.Are electrical extension cords being used in a safe manner as per code. g. X
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.-_3 _
INSPECTOR: �C��� ��� DATE: 2. 6- 2�T
-2-
Rcviscd 6/1/2024
No N i,'s N/A
8.ELEVATORS.DUMBWAITERS&ESCALATORS
a.[PM]603.1.Are elevators properly maintained,and is the current certificate of inspection on the premises. a. _
b.606.3.Are approved standardized,pictorial signs posted adjacent to each elevator call station on all b. _ �C
floors reading; IN FIRI-.hMFRGF.N('V,DO NOT USF.Ei,FVA'1'Olt,USIe Exi'1'STAIRS
c.606.7.Are keys for elevator car doors&fire department service kept in an approved location. C.
d.315.3.3.Are elevator machine rooms maintained free from stored combustible material. d.
e.[B]3005.1.Are elevator machine room doors maintained unobstructed at all times. C. _ �C
9.COMMERCIAL KITCHENS
a.906.1. Are portable Class K fire extinguishers installed within 30 feet of cooking equipment. a.
b.904.12.5.Is the fire protection equipment inspected,tested&maintained as per Section 901.6. b.
c.904.12.5.2.Are automatic fire extinguishing systems serviced at least every 6 months. C.
d.904.12.5.3.Are fusible links&automatic sprinkler heads replaced annually. d. _ �C
e.[RBI 122-5.13.Are grease traps provided and installed as required by Village Code. e.
f.[PC] 1003.10.[RB] 122-6.Are grease traps properly maintained as per State and Village Code. f
g.[RB] 122-6.C., 122-9.Are all service,maintenance,&repair records for grease traps and related —
plumbing maintained on the premises as required by Village Code. g.
10.HEATING SYSTEMS
a.[PM]603.1.Are all heating appliances properly installed&maintained in a safe working condition. a.
b.[PM]603.2.Are all fuel-burning appliances&equipment connected to an approved chimney or vent. b.
c.[PM]603.3.Are heating appliances maintained with proper clearances from combustible material. C.
d.[PM]603.4.Are safety controls for fuel-burning equipment maintained in effective operation. d.
e.[PM]603.5.Is the fuel-burning equipment provided with adequate combustion&ventilation air. e. _
11.MOTOR FUEL-DISPENSING FACILITIES&REPAIR GARAGES
a.2303.2.Is an approved,labeled&readily accessible emergency disconnect switch provided a.
in an approved location within 100'of,but not less than 20' from fuel dispensers.
b.2304.3.4.Are dispenser operating instructions conspicuously posted on every fuel dispenser. b.
c.2304.2.4.Are fuel-dispensers unobstructed&in clear view of the attendant at all times. C.
d.2305.5.Are approved portable fire extinguishers complying with Section 906 with a minimum rating of d. _ X
2-A:20-B:C provided&located not more than 75' from pumps,dispensers&fill-pipe openings.
e.2305.6.Are warning signs provided&posted within sight of each dispenser as per this section. e. _ Z(
f.2305.7.Are weeds and other combustible materials kept at least 10'from fuel-handling equipment. f.
g.2306.4.Are above-ground tanks provided with vehicle impact protection. g. _ A_
h.2306.5.Are above-ground tanks provided with secondary spill containment. h. — �(
12.HAZARDOUS MATERIALS(HAZ-MATS)
a.407.2.Are S.D.S.Sheets for all haz-mats readily available on the premises. a. _ _ X
b.407.3.Are spaces and individual containers containing haz-mats properly labeled&identified. b. _ _ X
c.5004.2.Are stored haz-mats provided with approved secondary spill containment. C. _ _ V
d.5003.7.1.Are proper No SMOKING signs provided as per this section. d.
13.MISCELLANEOUS
a.403.1.Is an approved fire safety&evacuation plan prepared&maintained for the building/occupancy. a. _ ✓
b.405.1.Are emergency evacuation drills conducted at the intervals as specified in Table 405.2. b. _ 1O _
c.405.5.Are records of emergency evacuation drills kept&maintained on the premises. c.
d.505.1.Are approved address&building numbers properly placed&plainly visible from the street. d. _
e.506.1.Are approved key boxes(knox boxes)provided,properly located&equipped with the proper keys. e.
f.703.1.Is all required fire-resistance rated construction properly maintained as per code. f. _ 17
g.703.1.Are openings through fire-resistance rated assemblies properly protected&maintained. g.
h.5303.5.Are compressed gas cylinders&systems secured&safeguarded against damage&access. h.
i.5303.6.1.Are compressed gas cylinder caps or collars in place at all times except when tanks are in use. i.
14.GENERAL HOUSJKEEPING
a.Good
b.Fair
c.Inadequate
d.Poor INSPECTOR: P- 0 DATE: 6 Z 6 — 2 QO
Revised 6/1/2024
ITEM NUMBER REMARKS
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INSPHC"fOR:
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Rcviscd 6/1/2024
BUI0,'
ENT :3D
VIOK OCT 2 4 :4]
938 KINGY 10573
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
FIRE INSPECTION / OPERATING PERMIT APPLICATION
FOR OFFICE USE ONLY: / \J
Fee Paid: $ Inspection Date&Time: u/jCYo,
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 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: oz- J • Obw 5yerr T ,�SBL: /'y1, 0-7�-1-7 zone:C�
CJ�I
2. Business/Occupancy Name: LAN& WL V446 L %gj�> NYS Use Class:
3. Property Owner: " PINE 9-- 00 Address: AYE F LA
Phone# qj 4_pO5� Cell# email: /[1T A KRI���N In�NRl C
5. Business Owner: JDO&TIW4 L&PT&B696- Address:
Phone#q+ 510 - �3JLO Cell# I I+- ;(Q 4 TZW email: �r„i�171}p1n�1�IaS �AN(�+�ii�
6. Emergency Contact:LO L"05 L7�M Address:
Phone# Cell# R 4 Z351- email: ac J i,IMii � VA !L4'm
v
7. Inspection Escort: Title:
t.
Phone#: Cell#: email:
8. Provide a brief description outlining thnthe current and/or intended use of the property:
P-r-O ., -,l cyy ctt��
9. List all Hazardous Materials: �jk
10. Occupant Load: Existing: Proposed: Other:
11. Date&Disposition of Previous Fire Inspection: ❑ Pass ❑ Fail
i
ni 1/_u24
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:
�� A11iAt) 44b�P-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
N 5 1 iN0SS L)VJM tlil- , 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 21 'A Sworn to before me this
day of OG�010 li12- , 20 day of aC� , 20
i
;NO/1a;7ryP1lic No ry Public
V � \
Signature of Property Owner gnature of Applicant
Print Name of Property 0vvner nW► Print Name of Applicant /
SHARI MELILLO
Notary Public,State of New York
RICHARD A.YARMY II No.OIME6160063
NOTARY PUBLIC,STATE OF NEW YORK Qualified In Westchester Count
Commission Expires January 29,201T7
Registration No.OIYA0013323
Qualified in Westchester County
Commission Ex ires September 08,2027
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914)939-0668 Christopher J.Bradbury
www.rycbrookny.gov
TRUSTEES BUILDING&FIRE INSPECTOR
Susan R. Fpstein Steven E. hews
Stephanie. Fischer
David M. I Iciser
Salvatore W. Morlino
September 23,2024
Via 1,1 Class Certified Mail
l,andsbcrg Jewelers
c/o Jcff Landsberg
132 South Ridge Street
Rye Brook,New York 10573
Re: 132 South Ridge Street,Rye Brook,New York 10573
Dear Mr.Jeff l.andsberg,
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 successful[•completed a Dire Inspection. Please note that you are required by Rye
Brook Village Code§91-4.B,to undergo and successfully complete a Dire Inspection for this location at least every thirty six
(30)months.
In order to avoid a violation,please complete and submit the attached Dire Inspection/Operating Permit Application form,
remit the correct application fee,and schedule your triennial Dire Inspection with the Building Department by no later than,
October 23,2024,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 o❑ the application form in the appropriate spaces.
Upon successful completion of the hire Inspection,you will he issued a Dire Inspection Certificate valid for three(3) years.
Please remember that you must schedule your Dire Inspection even. 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 lire Inspection Certificate.
Thank you.
%,- 9
Steven E. Dews
Building& lire Inspector
sfewsQ0-cbr > >kny, y
cc: Alfredo DiVitto, Assistant Building& Dire Inspector
],aura Petersen,Office Assistant
Alena I lakanjin, Property Manager
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914)939-0668 Christopher.).Bradbury
w�� v.rvcbrookn�>ov
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein titcyen F.. Dews
Stephanie J. Fischer
David M. Heiser
Salvatore W. Morlino
September 23,2024
Via 11,Class Mail
Landsberg Jewelers
c/o Jeff Landsberg
132 South Ridge Street
Rye Brook,New York 10573
Re: 132 South Ridge Street,Rye Brook,New York 10573
Dear Mr.Jeff Landsberg,
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 lire Inspection. Please note that you are required by Rye
Brook Village Code§91-4.13,to undergo and successfully complete a lire Inspection for this location at least every thirty six
(36) months.
In order to avoid a violation,please complete and submit the attached Dire Inspection/ Operating Permit Application form,
remit the correct application fee,and schedule your triennial lire Inspection with the Building Department by no later than,
October 23,2024,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 die appropriate spaces.
Llpon successful completion of the Dire Inspection,you will be issued a lire Inspection Certificate valid for three(3)years.
Please remember that you must schedule your[ire Inspection every three(3) years by tiling a Fire Inspection/ Operating
Permit Application,remitting the applicable fee,and scheduling your lire Inspection with the Building Department at least
thirty(30) days prior to the expiration date fisted on your Dire Inspection Certificate.
'1liank you.
Steven E. Fews
Building& lire Inspector
s fcwsQ10,c br��
cc: Alfredo DiVitto,Assistant Building& Fire Inspector
Uium Petersen,Office Assistant
Alena I Iakanjin,Property Manager
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VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914)939-0668 Christopher J.Bradbury
wvvw.ryebrook.org
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Michael J. Izzo
Stephanie J. Fischer
David M.Heiser
Salvatore W. Morlino
July 29,2022
Via 1st Class Certified Mail
Landsberg Jewelers
c/o Jeff Landsberg
132 South Ridge Street
Rye Brook,New York 10573
Re: 132 South Ridge Street,Rye Brook,New York 10573
Dear Mr.Jeff Landsberg,
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§91-4.13,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,
August 29,2022,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.
Michael J. Izzo
Building&Fire Inspector
mizzo(@ryebrook.org
cc: Steven E. Fews,Assistant Building&Fire Inspector
cc:Alena Hakanjin,Property Manager
/to
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406 tLwtk maW
VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914)939-0668 Christopher J.Bradbury
www.ryeb rook.org
TRUSTEES BUILDING&FIRE INSPECTOR
Susan R.Epstein Michael J. Izzo
Stephanie J. Fischer
David M.Heiser
Salvatore W.Morlino
July 29,2022
Via Pt Class Mail
Landsberg Jewelers
c/o Jeff Landsberg
132 South Ridge Street
Rye Brook,New York 10573
Re: 132 South Ridge Street,Rye Brook,New York 10573
Dear Mr.Jeff Landsberg,
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,
August 29,2022,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.
Michael J. Izzo
Building&Fire Inspector
mizzonae ryebrook.ororg
cc:Steven E. Fews,Assistant Building&Fire Inspector
cc:Alena Hakanjin,Property Manager
/to
BUILD1 _D14ARTMENT r--
VII E OF RYE OK I
938 KING 5 ET RYE BRO ��NY 10573 +
(914) 9 _ 9 ' 39-5801 SEP — 9 2019 �
VILLAGE OF RYE BROOK
II.iLr �,r-; ��- ,,,^�"RENT
FIRE INSPECTION / OPERATING PERMIT APP�.ICATIO
FOR OFFICE USE ONLY: �l
Fee Paid: $ VI Inspection Date&Time: /C).'Loo
FEE SCHEDULE: Re-inspection Date&Time:
Triennial& Private School Annual Inspection: =$450.00
Public Assembly Annual Inspection: <100 People=$500.00/>100 People=$750.00
Application,dated: J V N E ZO, 2D 19,is hereby made to the Building Inspector ofthe 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 ofpublic 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®ulations,as per detailed
statement described below.1. Address: 13 2 S00th P&W, SBL: 1 H I J-7- I J V Zone:C I— if
�'
2. Business/Occupancy Name: 1.-+'�!J�SJ��J�/V�-NYS Use Class:
3. Property Owner: W�r/V P—M(5r g&�A/(, c Address: Z" f-Ya 4jZ6i` 1Pl1T&77t
Phone# q/�" / .4-a5 Cell# email: 6�,��/� G(:Y��,W/
5. Business Owner: ;T6)441f�}J� �Is�&, Address: 13G -5. 4Z0�9 ST
Phone# gr 4-'5JO-M W Cell# T-?- 3A—g213 T email: �7y� )/U/, ,O��p YtfTF�.►EG
6. Emergency Contact: IC)A&jAt/ LhW,0S6e9 Address: SAA
Phone# SA-A Cell#,�q 1?" -W- q)3 S email: SAA
7. Inspection Escort:(,)ON#11�1 hJ � Vff> Title: D A)0—
Phone#: SA-A Cell#: 5,4A email: 54-R
8. Provide a brief description outlining the current and/or intended use of the property:
90* 1- - JeWany
9. List all Hazardous Materials: tj ilk
10. Occupant Load:Existing: Proposed: Other:
11. Date&Disposition of Previous Fire Inspection: ❑ Pass ❑ Fail
1
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:
being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing applic
and further states that he/she is the legal owner of the property to which this application pertains,or that he/she is the
00A FSS 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 3 Sworn to before me this
� 1 �cs.� , 20�_
dayof 20 JOSEPH i ORLtAN daYof
Notary Public,State of New York
No.020R5013255
Qualified in Westchester Count
Commission Expires July 15,202
N blic - N Public
i ature of Pro erty 6 (�+`��11� �. ;� i ature of Applicant
Print Name of Property Owner/*r_ 141AI AU S& a? Print Name of Applicant
KFIIY SP.1,17-FR
Notary Punic, '.,t: of New York
No. U1 Sr+c JCBb£2
Qualified in Westchester County
Commission Expires March 9, 202a
2
6/1/18