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DBumE MENT
.�L� ' ' 2Q14 VIL E OF RYE OK
938 KIN ET RYE B ,NY 10573
VILLAGE OF RYE BROOK (914)9 939-5801
BUILDING DEPARTMENT org
PLUMBING PERMIT APPLICATION
*MUST BE FILED BY LICENSED MASTER PLUMBER ONL Y*
Date: / Plumbing Permit#: a-6)8s" Building Permit#:
Fee: A D Approval Signature:
(fees are non-refundabl )
Application is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit
to install Plumbing as per detailed statement described below, and in accordance with all applicable Federal,State,
County and Local Codes,at the following location:
S It,U� C-�CIC' ��
I 9
Address: —/ Phone
Owner: 2 -k(I- r Address&Phone:
Use/Occupancy: Parcel I.D.#: Zone:
LICENSED MASTER PLUMBER'S INFORMATION:
Name(please print): C�c Phone#: y 7 2�'���G
Signatu� Westchester County License#: 7� Z
Company Name: it r ') C .
CompanyA/d'dress: lSs��� 5-7i/y/C311 ,7-y-c City/Town:
State: /�`T Zip Code: 1 0 ' 'b ( Phone#:
......................................................................................
FIXTURES&LINES ARE TO BE INSTALLED ACCORDING TO THE FOLLOWING SCHEDULE:
Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total
Closets Fountains Tubs Tubs Service Service Sewer LP Gas
Basement
1 st Floor
2nd Floor
Outside
*Other:
Detailed Description of Appliances etc...: -�
�yE BRC�v�•
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 . ` l DATE: /
PERMIT# ` ' 1 Ll- O 3 U ISSUED: 6-17-Z` 'SECT: . 7-? BLOCK: LOT:
LOCATION: -'!50�-Al 1_ A < OCCUPANCY:
s'
❑ 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
❑ L.P. GAS >j
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER