The URL can be used to link to this page

Home My WebLink AboutMP21-172 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebrook.o� TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE January 14,2022 Christine Sciandra 1 Wyman Street Rye Brook,New York 10573 Re: 1 Wyman Street, Rye Brook,New York 10573 Parcel ID#. 141.43-1-10 This document certifies that the work done under Mechanical Permit #21-172 issued on 11/9/2021 for the installation of a new Navien combo water heater/boiler has been satisfactorily completed. Sincerely, Steven E. Fews Assistant Building&Fire Inspector Ag �4�E Bpkj� �m 'gat BUILDING DEPARTMENT ❑,PILDING 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 :— �"� �� K DATE: ` c) PERMIT# ti a(�� - ( ISSUED: I1 Z� SECT: BLOCK: LOT: LOCATION: ) V.a 4r' �Jy f N�1 y e ` 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 ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 0 FINAL ❑ OTHER N = � W = O O a v � •� 3 [.. a o GL'C . 0. w a o A! r..� ��j [� W � M � �: 3 v � 3 «°• � 11a � CNON ZV o d ° �o w W Q —4 ✓� Ldc � vrs V gC� z � ipo L y' - �, x C d o ao a W W � G7 3 = .y •° m � V � a F'•LJI a ~'' pp 10 '0 y v o. co 12 c zo `D kn Un Ey M � {� t � d � v4p V �► e M Q fx � C.) O -00 °a I - w O z Q ^V Q U O O U ES isa cis a�i � � O fx ►.-r w p 4 ... �. a. a. BUILDING DEPARTMENT R [E C IE � " E VILLAGE OF RYE BROOK NOV _9 2021 DD 938 KING$SET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK w '1*w-r'Xsb3o4k,o'g BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: / - /r c)f '/ 7 NOV 1 0 2021 Approval Date: Permit Fee: $ Approval Signature: Other: ldalvecl— Disapproved: (fees are non-refundable) iF,t*****ik************it*********ir**************ir**F**rk+tar,rir 9r 7r 9r*at*4****ir*ie**,►*********************+k******** RE uIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLUNCE: I. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (village of Rye Brook crust be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Farm#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$100.00/unit•COMMERCIAL=$350.00/unit. 5. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,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. �} l. Address: A A4 /4 A-) �17L 6� SBL: -1 7 J 3'l)Q Zone:kb—F 2. Property Owner: I /�1 %/,(1pL �C'J�,A/t(/1 A Address: / GI L,414AI Phone#: / /l74 �� / Cell#: email: 3. Contractor: Address: Phone#: Cell#: email: 4. Applicant: QA!�W_54,�U G&-- Address: 332 �� 7,_ Phone#: 91A-� 7/vQ 6_5_?&O Cell#: /�j 9 (//_-53 email: 5. Scope of Work:New Installation 00•Replacement( }•Removal( )•Other( ): 6. List Equipment: ff / y� /,�J,6 7. Location of Equipment: o u'l e' ,-e's,�T-r /✓�—_W&56 8. Method of Installation/Removal(list all equipment needed to perform job): 1 811 212 02 1 STATE OF NEW YORK,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 further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the 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 C day of /Vlj' 20 i day of N�� try ,20 ignature of Trope er 'Aijnatyle of Applic Print ame of Property Owner ame of Applicant Notary Public ALEXANDRA H.MARSHALL i��., f�'I��, State of'Jew York Notary Public,State of New York No. 01 ME6160033 No.01FR6363711 G-salified in Westchester County Qualified in Westchester County Commission Expires Janucry 29.20 Commission Expires August 28,20 a 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. Any application 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 8/12no21 AFFIDAVIT IN SUPPORT OF FEE WAIVER RELATED TO HURRICANE IDA STATE OF /VLF V%k COUNTY OF 's /[, 60-9K64nsert name), being duly sworn, deposes and says 1. I am the applicant for a Building Permit/Certificate of Occupancy/ Demolition Permit Electrical Permit Plumbing Permit Fence & Wall Permit Mechanical Permit Po ermrt (circle all that apply) 2. I am the legal owner of property located at Rye Brook,New York (insert street address) OR I am the (Architect/Contractor/Engineer/Attorney) (circle one) for the legal owner of property located at Gf/ /u �/�� , Rye Brook, New York and I am duly authorized by property owner C/ i��/��i �/f eff7� to make and file the accompanying application. 3. The following is a description of(1) the work to be performed under the permit for which I am applying; and (2) how the work arose as a direct result of Hurricane Ida: 4. The work described herein arose as a direct result of Hurricane Ida and does not include Work which was not caused by Hurricane Ida, Sworn to before me this Day of No j r , 20 r� Notary Public SHARI MELILLO D _E Notary Public,State of New York �1 � No. 0,!aIlEed in westcl,,�ster county LIN 9 2021 Commission Exnires January 29,2[;�3 VILLAGE OF RYE BROOK BUILDING DEPARTMENT