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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.ryebrook.org
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
May 21,2024
Sandra Decrescenzo
11 Brook Lane
Rye Brook,New York 10573
Re: 11 Brook Lane, Rye Brook,New York 10573
Parcel ID#: 135.73-1-8
Building Permit#2520 issued on 4/23/2002 for a Wood Burning Fireplace
This certifies that the wood burning fireplace,installed under the above captioned permit has been
satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
/to
(� i'' For office use onl
p E V�/]E BUILDING 6EPARTMENT PERMIT#
VILLAGE OF RYE BROOK ISSUED: 4—a3—';)00a
MAY 17 2024 9 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: —
10,
(914)939-0668 FEE: 116-PAID
VILLAGE OF RYE BROOK www.ryebrook.orz
BUILDING DEPARTMENT
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
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Address: ���?t� LGv►'�
Occupancy/Use: —�F /77 Parcel ID#: /35 , 73— )—8 Zone:
Owner: -50N P .I e&e_'eljfo Address: l/ olzak Zee
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 OF NEW YORK,COUNTY OF WESTCHESTER as:
,! Wfi 3d 06f NO being duly swom,deposes and says that he/she resides at ��,&D k (�
in I2(Print Na of Applicant) ����((�� / (No.and Street)
�� ��K� ,in the County of 1�1 o�f I in the State of 1_1 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:$
for the construction or alteration of:
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 )- 4 Sworn to before me this
day of 1 ' �►y , 20 ` day of , 20
G q?sk�
ignature of Property Owner Signature of Applicant
i
��U-Dt?-A ��� � �e N2o
Name of Property Owner Print Name of Applicant
Notary Public Notary Public
SHARI MELILLO
Notary Public,State of New York
No.OIME6160063
Qualified In Westchester County
Commission Expires January 29,202�
QyE BRC�,,�
BUILDING DEPARTMENT
❑B ILDING INSPECTOR
[ SSISTANT 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 : L a y c' DATE: -5- Z 101 L Q 2 Y
PERMIT# ISSUED: / 'i. -02-SECT: BLOCK: / LOT: 9
LOCATION: OCCUPANCY:
f
❑ Violation Noted THE WORK IS... [3 PASSED ❑ FAILED / REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION r
❑ Natural Gas �C:z �� �,J M JO o 2- F n 4;4�- G U0-Do C'
❑ L.P. Gas P` Q
❑ FUEL TANK
❑ FIRE SPRINKLER rJ
❑ FINAL PLUMBING
❑ CROSS CONNECTION
Q/FINAL
OTHER