HomeMy WebLinkAboutMP20-167 BR,
�7. 19
VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
www.tyebrook.org
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
February 6,2024
Edward Holleran&Nancy Holleran
7 Ridge Boulevard
Rye Brook,New York 10573
Re: 7 Ridge Boulevard, Rye Brook,New York 10573
Parcel ID#: 135.59-1-58
This document certifies that the work done under Mechanical Permit #20-167 issued on 11/5/2020 for the
installation of a gas fired furnace has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
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• �9�2 BUILDING DEPARTMENT
❑BUILDING INSPECTOR
EI-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 : { 0 &XL DATE: 16 - Z Oz I
PERMIT# MP 2 O- ) (, 2 ISSUED: / .5-202 SECT: S_ S�` BLOCK: i LOT: Sy
LOCATION: -P---"//-1 sorg0 I T OCCUPANCY:
❑ Violation Noted THE WORK IS... U✓ PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION n
❑ Natural Gas
❑ L.P.Gas N
❑ FUEL TANK N
❑ FIRE SPRINKLER
D FINAL PLUMBING
❑ CROSS CONNECTION
0 FINAL
❑ OTHER
QyE BRC�k.
O� 2m
cu �
• �9�2 BUILDING DEPARTMENT
❑BUILDING INSPECTOR
EI-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 : { 0 &XL DATE: 16 - Z Oz I
PERMIT# MP 2 O- ) (, 2 ISSUED: / .5-202 SECT: S_ S�` BLOCK: i LOT: Sy
LOCATION: -P---"//-1 sorg0 I T OCCUPANCY:
❑ Violation Noted THE WORK IS... U✓ PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION n
❑ Natural Gas
❑ L.P.Gas N
❑ FUEL TANK N
❑ FIRE SPRINKLER
D FINAL PLUMBING
❑ CROSS CONNECTION
0 FINAL
❑ OTHER
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BUIL GDE MENT NOV -4 2020
VIL E OF RYE OK
938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
(914) 939-5801
PLUMBING PERMIT APPLICATION
FOR OFFICE USE ONLY M #: P PP#: 0?0—/ a I
Approval Date: NOV 5 Permit Fee: $ I —76 1?CL
Approval Signature: Other:
Disapproved:
(fees are non-refundable)
Application dated, Z4 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of
a Permit to install an or remove Plumbing as per detailed statement described below. The applicant&property owner,by signing this
document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. Q "�
1.Address: 7 /1 t-ttle 6 `ycf SBL: /� �q— Zone: /�—
2.Proposed Work: —7-eN 3 1Q J L &&5 P•�� 77L rus"V1A C-k-
3.Property Owner: EG(L mko 140LI,Q/1f}AJ Address: Ay
Phone#: Cell#: email:
4.Master Plumber: V-&\e Address: Q
Lic.#:(QZ4�; Phone#: , �S-(i2\- q�O Cell
Company Name:9i dQ�-I-1A L.-W Address:,Q� 2,4�t . t A- (_ F4-ki S
INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: t b �
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
3`d Floor
' Floor
5`h Floor
Exterior
r-- �
5.* List Other Equipment/Provide Details: 5, 1` \yiC- C, V&
.% `I
(Notarized Signatures Required Next 2 Pages)
3/21/19
ST9T�OF YW YgRKKCOUNTY OF WESTCHESTER ) as:
,&&*W &0 ✓ ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the applicant)
and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the
l f— for the legal owner and is duly authorized to make and file this application.
(indicate architect,contractor,agent,attorney,etc.)
That all 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 Sworn to before me this
day of 120 day of AJbZb( hA,4 20 v2U
i
Signature of Property Owner Signature of Applicant
Print Name of Property Owner Print Name of Applicant
Notary Public Notary Public
This application must be properly completed in its entirety and must include the notarized signature(s) of
the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications
not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be
returned to the applicant.
-2-
3/21/19
ECENE
BUILD N,IU ,_R MENT D
VIL I E OF RY OOK NOV -4 2020
938 KING , ET RYE BR O-,NY 10573
(914)9JI-� 9 , 39-5801 VILLAGE OF RYE BROOK
wr✓y0. ol1 BUILDING DEPARTMENT
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS
THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG
WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION
SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT.
STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: r
31, A� Z! �/ ,y , residing at, 7 I'� 1 e gt° 41 V C1
(Frint name) (Address where you live)
being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the
legal owner of the property to which this Affidavit of Compliance pertains at;
kci 3 e, U (V d , Rye Brook, NY.
(.lob Address)
Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that
there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that
there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of
inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State,
County and Village Codes.
(Signature of Property Owner(s))
A2'cda.,- /7/0116WA-1
(Print Name of Property Owner(s))
Sworn to before me this
day of , 20
(Notary Public)
-3-
3/21/19