HomeMy WebLinkAboutMP21-134 BRCS 4'
VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A.Klein (914) 939-0668 Christopher J.Bradbury
www.ryebrookM.gov
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
June 13,2024
Matthew Altman&Alexandra Altman
42 Lawridge Drive
Rye Brook,New York 10573
Re: 42 Lawridge Drive, Rye Brook,New York 10573
Parcel ID#: 129.67-1-51
This document certifies that the work done under Mechanical Permit#21-134 issued on 9/20/2021 for the
installation of a two new furnaces have been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
/to
E BR 's�t-
2�
1932 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 Q v,. J IC /V-C DATE: (j L '�
V 1p -L. - vt> l 9- ZO-Zt
PERMIT# Pip Z I — 15 L ISSUED: -2 r SECT: Z v ! BLOCK: LOT:
LOCATION: )3m,- OCCUPANCY:
❑ 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 r
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION a
❑ FINAL
Q OTHER h{, V, q. G
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BUIL E MENT
VIL E OF RYE OK SEP 17 2021
938 KIN EET RYE B ,NY 10573 VILLAGE OF RYE BROOK
or7 BUILDING DEPARTMENT
w � .
PLUMBING PERMIT APPLICATION
FOR OFFICE USE ONLY -/'MP/-/31 PP#:
Approval Date: SEP 2 1 2 Permit Fee: $ /
Approval Signature: Other: _4o am/e / ._.L IJ,4
Disapproved: ET
(fees are non-refundable)
Application dated, 7 /6 - is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of
a Permit to install and/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.
I.Address L � Zone: S
2.Proposed Work: ��i��
ol
3.Property Owner: . M�Q„�J Address: .2 'k�,� l�
Phone#: Cell #: 514—&;,p Q-3163 email:
4.Master Plumber: �� e `�a� Address:
Lic. #:�Phone#: Cell#: 9/� /; em 'l:
Company Name:'.;r /may �.c'.�i Address: 4/
47-
INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE:
Location Water Urinals Drinking Sinks Showers Bath laundry Domestic Fire Sanitary Natural/ Other* Total
Closets Fountains Tubs "Pubs Service Service Sewer LP Gas
Basement
^'1
K�
1 st Floor
2nd Floor
3`d Floor
4`h Floor
5`1 Floor
Exterior
5.* List Other Equipment/Provide Details:
(Notarized Signatures Required Next 2 Pages)
8/12/2021
BUILD MENT p E C E M
VIL ` ' 'E OF RYE'" OOK
938 KING F'r Ri,E BR ,NY 10573 SEP 17 2021
4
w VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
xxxxxxxxxxxxxxK*xx*xxxxxx*xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx,�xxxxxx*xxxxxxxxxxx*,�**�*,�***xxxx xxxx�********
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 NNE�EW YORK, COUNTY OF WESTCHESTER ) as: ss
3J, 7� , residing at, Cyri�� vv�
(Print name) (Address%+here-Nou 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;
4�2 � �1� /�yJ6� , 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.
(S griauirC of P )perty Owner(s))
A V� � �*R\q
(Print Name of Property 0w11er(S))
Sworn to before me this
dam of , 20
^ � p�Y P V
pNA coq�/
otary Public)
No.01C061 2
't %Ezp.12/20,
N9� FSTrE yOQ�
OF NE`�
8/12/2021
STATE OF NEW ORK,COUNTY OF WESTCHESTER ) as:
,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the applicant)
and further7�t( he is the legal owner of the property to which this application pertains,or that(s)he is the
O��'ti 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 /D Sworn to before me this &
01 day of ✓ ,20�_ day of �,r ,20 v�-1
Signature of Property Owner Signature of Applicant
�\A"o
Print Name of Property Owner lrinktNiame �Appliant
t/
otary Public —Notary Public
pky PU RY PU
�C) I NA Co NP q��i� = Co
This applicatic * N.b4 r �f mpleted in its entirety and must includ NoAl"KI, �� i* re(s) of
EV.1212Q Exp.1212
the legal ow ne r the Su .jo erty, and the applicant of record in the rovid lications
not properly corn � ti ety and/or not properly signed shall be deem -uid will be
OF N
returned to the applicant.
-2-
8/12/2021
AFFIDAVIT IN SUPPORT OF FEE WAIVER RELATED TO HURRICANE IDA
STATE OF C61-NTY OF
(insert name). being duly sworn,deposes and says
1. 1 am the applicant for a Building Permit Certificate of Occupancy / Demolition Permit
Flectrical Permi mbing Permt /Fence& Wall Permit
ical Pe o ermit(circle all that apply)
?. 1 am the legal owner of properly located at
Rye Brook. - York (insert street address)OR I am the�4� /
(Architec Contractor .ngineer/Attorney)(circle one) for the legal owner of property
located at �..Z. i�,d' _ . R%e Brook. New York
and I am duly authorized by property owner 4�
to make and file the accompanying application.
3. The following is a description of(l)the work to be performed under the permit for,.,,hich
I am applying: and(2)how the work arose as a direct result ol'I lurricane Ida
4. The work described herein arose as a direct result of Hurricane Ida and does not incl
Work which was not caused by Hurricane Ida.
Sworn to before me this/.4 _
13 ! Of ' 20 P1
F�
Y P
- O�PNA Coney
Notary Public
* No.01COtit 3
%Exp DD
N9T�°"Fs aQ� SEP 17 2021
F0F NE`jt`l
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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