HomeMy WebLinkAboutPP21-056 6.
C Gas ai6Tic et NDate:.. z 0 _z
eonEdison Time "Red Tag"
Customer Operations Was Applied:
1-800-350-9346 WARNING �r
TYPE: FBI 19
Address-4 5 Lir c�4
Name r s"t Apt. 60 W? L43
WAS ADVISED THAT GAS SUPPLY HAS BEEN SHUT
OFF TO THIS r J
(If Appliance -Manufacturers Name&Type Appliance) "
RED TAG ATTACHED AT
0 ; ` I ® LOCATION CHECKED
Shut Capped or
o Location Locked Plugged
off gg
w
cD
m Riser
0
NGas Meter
o_
CO Gas Service
07
n (After the meter)
fn
v Appliance
m
M Extension Service xx
OF (Before the meter) J`
as For the reason indicated below:
Appliance Regulator Not Vented....................................................................................
InoperativeSafety Pilot............................................................_...............................................
Leak On House Pipe Before the Meter(Extension Services...............—Oe
Leak On House Pipe After the Meter......................_........................_I.......................
Corrosion Found on Extension Service(Specify Level).........................
Stoppagein douse Piping.....................................................................,..............................
Leakat Equipment................................................_.......................................................,.............
Other............................................................................................................. .......
Additional Comments
Employee Name J / S No. i
It is understood that this gas piping and/or equipment affected by this closed valve must not be used until the problem
has been eliminated.Repairs must be made to accordance w th municipal regulations and,if so required,must ba
performed by a licensed plumber.For Information,call the New York City Department of Buildings at 311,In Westchester,
contact your local municipality,If the problem is on the extension service,repairs must be made by a plumber who is
Operator Qualified&inaD&A program,Go to=y.NYCplumbersO0,com for a list ofqualifledplumbus 25
Customer's Signature 14 Date
CUSTOMER'S COPY
QyE 4Ra
F0�
BUILDING DEPARTMENT
❑BUILDING INSPECTOR
/ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
j' ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573
(914) 939-0668 FAx (914) 939-5801
www ryebrook.ors
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS : L v �- DATE:
PERMIT# " v ISSUED: �( 4LT: BLOCK: LOT:
LOCATION: \ - x1 � -� l N OCCUPANCY: Z `�
❑ 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
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
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