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VILLAGE OF RYE BROOK
MAYOR 938 Ding Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
www.ryebrook.orQ
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Michael J. Izzo
Stephanie J. Fischer
David M. Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
May 12,2022
215-217 South Ridge Street LLC
215-217 South Ridge Street
Rye Brook,New York 10573
Re: 217 South Ridge Street, Rye Brook,New York 10573
Parcel ID#: 141.35-2-40
Building Permit#1205 issued on 10/27/1964 to Remove Garage Door& Install Window
This certifies that the garage door removal and window installation,under the above captioned permit has
been satisfactorily completed.
Sincerely,
Michael J, Izzo
Building&Fire Inspector
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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 : -Q -c i !;'r DATE: _s;- I Z Z
PERMIT# ISSUED:dZ) b SECT: 1`i 1 BLOCK: Z LOT:
LOCATION: C M k<; `� `l- �TZF ��� - 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 AR 4�4 r I-
❑ L.P. GAS
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
CROSS CONNECTION
FINAL
OTHER
ED
D C E� V BUILDIN �1)EYA�TMENT For office use only:
PERMIT# 1 Z c�
MAY 12 2022 VILLAGE OF RYE BROOK ISSUED: I D -2-
938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:
VILLAGE OF RYE BROOK (914)939-0668 FEE: PAID p
BUILDING DEPARTMENT www,ryeb,IoolLorg
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
►►►►ttttt■►►►ltttti►►►►t►tlli►►►►►►!lttttl►►►►!lttt►•ttttt►l►tllitlt►►►tttl/►►►►lttttlt►►►tltttilt►►►ltll►►►i►►!!tt•►ltt►l►tt
Address: v?17 ,Sou4h R►al_a e
Occupancy/Use: Parcel ID#: 14).3 5- off-44 0 Zone:
Owner:(Q 15-a 1-7 �,%ulh R, e. '�-YeLo+ Q-C,Address: 01 HJI ICYeSf Park- coad
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 OFNEW YO1RK,COUNTY OF WESTCHESTER as:
PQ17_I C'L t�l DQ/'2 t✓C being duly swom,deposes and says that he/she resides at u i A l I C -esS Park 1Ptxzd
in 00(Print Name of Applican ((11 (No.and Street)
G► e-emo!c-A-) ,in the County of -Fal►-'Geld in the State of er ,that
(City/Town/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:$ 5co
for the construction or alteration of: r-a-mOVe, Q(k.YG AQ dOD r 1 tr1 4 a-G�t t y �„r►pL,�
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 Sworn to before me this
day of - a ,2Q day of , 20
Signature of Property Owner Signature of Applicant
ame of Property Owner Print Name of Applicant
Notary Public Notary Public
SHARI MELlLLO
Notary Public, State of New York
No. 01".i t61 E 0063 8i12/2021
Oualified in WestcheEler County
Commission Exoires January 29, 20ta