HomeMy WebLinkAboutMP15-056 DR
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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.orQ
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
February 21,2024
Miriam Golden
49 Greenway Lane
Rye Brook,New York 10573
Re: 49 Greenway Lane, Rye Brook,New York 10573
Parcel ID#: 129.84-2-38
This document certifies that the work done under Mechanical Permit #15-056 issued on 4/20/2015 for the
installation of an oil fired burner has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
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• 1982• BUILDING DEPARTMENT
❑BUILDING INSPECTOR
01(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: Q L p'J c DATE: �' Z
PERMIT# ('^\ ' O SZ0 ISSUED:y'Z o +5 SECT: 12, BLOCK: 2 LOT: 3 g
LOCATION: ,\��� fr 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 `
❑ Natural Gas PC�- U d 2R 1 D+
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER _
❑ FINAL PLUMBING
❑ CROSS CONNECTION
.0 FINAL
❑ OTHER
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VILLAGE OF RYE BROOK EKVILLtAGE
BUILDING DEPARTMENT
938 KING STREET,RYE BROOK,NY 10573 c(914)939-0668 FAX(914)939-5801 www.ryebrook.or2 2015
E ARBROOK
APPLICATION TO INSTALL AND/OR REMOVEMENT
FUEL BURNER, BOILER OR HOT WATER HEATER
Permit#: (40 Building Inspector: VAIV
Fee Paid: C "I Date of Approval: APR o 2015
(fees are non-refundable)
REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE:
1. Properly Completed & Signed Application.
2. Copy of Licensed Contractor's Insurance including Liability & Workers
Compensation naming the Village of Rye Brook as Certificate Holder.
3. Fees: $75 per unit.
4. Inspection by Building Department for removal and/or installation.
5. Certificate of Compliance will be provided when all requirements are fulfilled.
6. Any electrical work requires an Electrical Permit and Electrical Inspection.
7. Any gas/plumbing work requires a Plumbing Permit and Plumbing Inspection.
Application is hereby made to the Building Inspector of the Village of Rye Brook for the approval
of a permit for the installation and or removal of the equipment as listed below.The applicant,by
signing this document agrees that said equipment will be installed and/or removed in conformance
with all applicable Local, County, State &Federal laws, codes,rules and regulations.
1. Property Owner's Name: M1 r,Am Qd Mery Phone#: 9/y- 2GW
2. Job Address: Iq IV,ctvincy ,g,/e lye /Ira _Phone#:
3. Parcel I.D #: Zone:
4. Contractor: Azrdw 050e TO/ O0 ha- Phone#: Piy-yam lyz�
5. Contractor Address: 94' IX, 6y*1rr 5)(-to f (rtw ek Fax: .ZV)-f7/-J'7S.3
6. Scope of Work: Install; Remove ❑; -Fuel Burner ❑; Boilent; Water Heater ❑
7. Type of Equipment &Fuel: S�r,�<�.. �yvv �k-/ w,�! l��c.��yA�' �►'r/�r
8. Location of Equipment: y9 l�rt�.t.wny �,y�✓8 �yr �/'oy� f,� s�tdj
Signature of Applicant: Date:
Printed Name of Applicant: 011flr^l Iya".IV Phone#: V?3