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HomeMy WebLinkAboutBP22-009PERMIT # 6A " OnO9 DATE: � � " � 0 EXP: / c�Lo s SECTION ic BLOCK 3LOT TYPE OF WORK '/ ate Xhle/'e ®rI S JOB LOCATION CONTRALTO EST. ✓CO ## TCQ # S �? D,4 FEE DA INSPECTION RECORD DATE INSR FOOTING - - FOUNDATION FRAMING - RGH FRAMING INSULATION � ��-- PLUMBING - RGH PLUMBING -- - GAS SPRINKLER SOW -VOLT ALARM - _...... AS BUILT © - - ------ .--•_,_._. FINAL 'r""'3�r� j�l—C717/�c?CC�i n0�P�i C ER APPROVALS 'ARB BOT _ PB j ZBA p OTHER s �M� C /os-e Out I SSU ea VILLAGE OF RYE BROOK WESTCHES 7,. COUN',rY, NEW PORK �` NO: 22-034 18, Certificate of ®ccupaucp Eh1s is to certify thatP,Q!f Lz -ene7 usa, of, having duly filed an application on WoV C 1 7� 20�requesting a Certificate of Occupancy for the premises known as, 74 la-,q?arort Rr,,a01 , Rye Brook,NY, located in a g-7 Zoning District and shown on the most current Tax Map as Section: 13!5, -;5aBlock: ' 3 Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building O?Permit No.c -no 9, issued 02 20 acg such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the New York State Use Classification of: -� D� / / ,for the following purposes: o�''d Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has be b ine the-9 ilding Inspector. Building Inspector,Village of Rye Brook: Date: MAR 1 0 2022 E C E � " '1E BUILDING DEPARTMENT For office use onlv: DD PERMIT# >-)--,)-Qog VILLAGE OF RYE BROOK ISSUED:f—a 0--r'3Zh, LIAR - 7 2022 938 KING STREET,RYE BROOK,NEW YORK 10573 DATE:��—�—a a- VILLAGE OF RYE BROOK (914)939-0668 FEE: &//(0— PAjt BUILDING DEPARTMENT www•r'*'ebi-ook.m- APPLICATION FOR CERTIFICATE OF OCCUPANCY9 CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL, INSPECTION #rt###rt##ttk##rt►►►4i►►•►►►t►►►►►►►►►►►#►►►•►►►►►►#iii►►►t►►i#i►►►4►►ii►i►►►►►###i#rtrt#kki###rt#rtrt#k###rtrtrt#########rt#kki######rt#rt Address: 74 9AMURk R ROAD, RYE BRWK, NY 10573 Occupancy/Use: S ingle—familyParcel ID#: 135.52-3-5 Zone: R7 Owner: GIUSEPPE GENNUSA Address: 74 Tanuraek Road, Rye Bradt, NY 10573 P.E./R.A. or Contractor: g(Yy,n nT T.Fn Address: 363 Westchester Avc., Port C2iest�ex, NY Person in responsible charge: Address: 10573 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: GIUSEPPE GENNUSA being duly sworn,deposes and says that he/she resides at 74 Tamarack Ro,d (Print Name of Applicant) (No.and Street) in Rye Brook ,in the County of Westchester in the State of NY ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 5,1,00 0.00 for the construction or alteration of. second floor donner Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of Maw , 20 22 day of , 20 S' r e of y Owner Signature of Applicant GIUSEPPE GENNUSA Print Name of Property Owner Print Name of Applicant Notary Public v0H7',,E.COLANGELO Notary Public Notary Public,State of New York No.4708504 Qualified in Westchestar County Commission.Expires July 31, 19 QyE BRCv�. - '9a2 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.org - - - - - - - - -- - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : ` \ �`\ � DATE: PERMIT# `�C\ _ `� l ISSUED:_I SECT: BLOCK: LOT:/ LOCATION: Ci ` �.`: `. \ 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 ❑ FINAL ❑ OTHER Qyre_BRC��. tim cu � 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 : -7 1 DATE: J�ECT:ISSUED: akaPERMIT# BLOCK: -LOT: LOCATION: OCCUPANCY: Z " ❑ VIOLATION NOTED T E WORK IS... � ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION �) REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: Ef ROUGH PLUMBING d` ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER ■ ■ p cV e3 40, aCD W 0.0 .yi O w � ■ f� s a ■ O Ln cu tL Obo N w f rl ■ to 1yILn a a v A ■ ° Cn I--� O � � ' Q Go �P'O •� � a ta � ��■y W ~ E CJ O f3 U ■ v Q Z 00 m Cs O _ W o U Zate. o Cn s qlTCIA 14 co 92. p W 0 � N � 00 O Z b o tz O ��jj c v � -,j C �-+ V � !'� oZ O C G A Uqt o ? � W O P. O •C BUILD mDEP) MENT VIL OF RY OOK JAN 1 8 2�122 938 KING ET RYE BRQ' ,NY 10573 1-1 99-066$ � VILLAGE OF RYE (BROOK , . BUILDING DEPARTMENT IJl00 .0 g INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: Approval Date: J AN 1 9 Permit#:,, t -00'9 Application Fee:$ Approval Signature: Permit Fees:$ ©p- Disapproved: Other: Application dated: O 1/10/2021 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an existing building,or for a change in use,as per detailed statement described below. 1. Job Address: 74 Tamarack Road, Rye Brook, NY, 10573 SBL: 135.52-3-5 Zone: R-7 2. Proposed Improvement.(Describe in detail):— Legalization of an existing second floor in an existing single family dwelling. 3. Does the roposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes, indicate: TIER 1: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: N/:Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: 1-FAMILY After Construction: 1-FAMILY 6. N.Y State Construction Classification: VB N.Y.State Use Classification: R2 7. Property Owner: GUISEPPE GENNUSA Address: 74 TAMARACK ROAD, RYE BROOK, NY, 10573 Phone# 914- 939 - 1814 Cell# email: virginia17@gmail.com 8. Applicant: ROCCO DILEO Address: 363 WESTCHESTER AVENUE, NY, 10573 Phone# (914) 774-0534 Cell# email:rdileo rdstudio-inc.com 9. Architect: ROCCO DILEO Address: 363 WESTCHESTER AVENUE, NY, 10573 Phone# (914) 774-0534 Cell# email:rdileo(a),rdstudio--inc.com 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: Phone# Cell# email: 12. Estimated cost of construction $ $5,000 (NOTE:The estimated cost shall include all labor,material,scattblding,fixed equipment,professional tees,and material and labor which may be donated gratis.) t 13. Job Timetable:Start: �+ Finish: 0) 8/12/2021 BUILD .— _ MENT VIL E OF RY OOK �A 18 Z02 938 KING ET RYE BR ,NY 10573 _ 14j4 _0 i VILLAGE OF RYE BROOK 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: 31, GUISEPPE GENNUSA , residing at, 74 TAMARACK ROAD, RYE BROOK, 10573, NY (Print nanne) (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; 74 TAMARACK ROAD, RYE BROOK, 10573, NY , Rye Brook,NY. (Job 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. (5i atareol'1'": �rtyOiw (s)) (Print NarneorPropcfty C)wner(s)) Sworn to before me this /y day o� , 20 a zi i (Nv PU ) AOHN B.COLANGELO v ry Public.State of New York No.4708504 (qualified in Westchester County / Commission Expires July 31,2 (2) 8/12/2021 This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with y our permit application will delay the permitting pro D. ID JAN 1 8 2022 Notice of Utilization of Truss Type, Pre-Engineerod Wohlil- or Timber Frame Construction. (Title 19 Part 1264& 12�5 t E OF RYE BROOK ING DEPARTMENT To:The Building Inspector of the Village of Rye Brook. From: ROCCO DILEO Subject PropeM:74 TAMARACK ROAD, RYE BROOK, SBL: 135.52-3-5 Zone: R-7 NY, 10573 Please tape notice that the subject; ❑ One or Two Family; ❑ Commercial, ❑New Structure ❑Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) ❑ Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders&Beams(F) ❑ Roof Framing(R) a Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1.264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to fore me this /U Sworn to before me this ► ! '"- day of V191d ,20-) Z_r day of 20 Z2, anature rope Owner ature of Design Professional Print Name of Property Owner [Print acne of D� Professional No7i1 s Notary Public JOH OiANGELO otaryP ic,State of New York FNotary WN WILSON No.4708504 c - state of New York Qualihed in Westchester CountyCommission Expires July 31,2 01W16160848 (3) WestCheste5 unf n Expires 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. Please note that application fees are non-refundable. STA,V OF NEW YORK,COUNTY OF WESTCHESTER ) as: -P- h&olf,being duly sworn,deposes and states that he/she is the applicant above named, (pPA name of indivici I;igningAythe applicant) anti further states that she 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. r-Ondicate architect,contractor,agent,attorney,etc.) 4That 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. By signing this application,the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this ZQ Sworn to before me this 171r day of , 20 j-, day of —:g , 20-,?,Z J � r nature roperty er Signature of Applic t7 Print Name of ope Owner Print Name of Applicant Notary P lic I Notary Public JOHN B.COtANGELO Notary Public,State of New York SHAWN WILSON No.4708504 Notary Public - State of New York Qualified in Westchester County N O.O 1 W 181608 d 8 Commission Expires July 3i,20 Qualified In Westchester Count My Commission Expires (4) 8/12/2021 - N it H c � CA Ln U_ wen u L A en CGUry q t-' �JLr) 6. o 71A �" w Z W i' 0' CA Z < z t% Ln a Q z 00 O C7 � Z Z a W UI C1 ).* N M c z z �. z ► 1 c/� M O z w > ? V U U U a = w U pEc 1 f~ U it U v w W a z E o p w z ,� �„ x w zCA Angelo Zaccagnino D.O.B: 12/1111968 �, BR Company: - .. ,4- i "•. ' i� BUIL E MENT D11 Zaccagnino Electric I JA'� 2 7 Z�22 81 Maple Avenue VIL E OF RYE _ OK I Rye,NY 10580 8 KIN t E`1'.RYE B ,NY 10573 VILLAGE C 1- r0'E BROOK -icense No. 755 tv or xpires on:12/31/2022 Peter Borducci ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP 6 EP#: 1�DI-)—C 17 Approval Date: ,AN 2 7 21R2, Permit Fee: $ Approval Signature: Other: Disapproved: 4— (fees are non-refundahle) Application dated, r^ � o 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 electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: '11 14gn'A �4A-� SBL: /:3 6"a —,3 Zone: 2.Property Owner: �S e�,�c fig(/K S Address: Phone#: J�� f- 39^ l /�{ Cell#: email: S- 3.Master Electrician: �!Fdo �G�GC��iwi�;V Address: 1P /17 A, =E A✓1F k J► q/ Lic.#: 7a' Phone#-7q, 9A/- 3a'f V Cell r►F(�- 9c6—(I1,0 email: Company Name: FQGCQ5 1 /t:e Address: 8-1 rQ a 'I)— �1 4.Proposed Electrical Work/Fixture Count: �f toCIO" i STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: m 9: L6 IN i k ,being duly swom,deposes and states that he/she is the applicant above named,and does further print erne of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the N)wZ> / — for the legal owner and is duly authorized to make and file this application. (indicate architect.contractor,agent,attorney.etc.) The undersigned further states 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 regulationnns. Sworn to b pre me this aj Sworn to bef me this dG d apo f ,20 da of ,20 L 2 Signature of Property Owner Sin re nt STEVE . ,G GN e rtnt amN2 o. a LO%%238 NOTARY ll NE YORK 1 — or County 1N238 t�r�riN n Expir October 14. 20 _ At A1iV�dPf1�1 @st ter County My Cornmil-inn Expir-1 nct ber 14, 20_1_ 8/12/2021 �' f '3' Westchester Rockland Electrical Inspection Services, Inc. Phone: 914-347- 595 DO NOT WRITE HERE-FOR OFFICE USE ONLY Fax: 914-347-3596 43 North Lawn Avenue Elmsford NY 10523r` \� I �;%�' ` BUILDING PERMIT NO. TEMP N DATE CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAM f BUILDING OCCUBNNCY OWNER'S NAME AND ADDRESS J , HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO, WATTS EACH INSPECTION OUTSIDE BASEMENT I"FL. jAN 1� y T-FL REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED t7 CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD UNDERGROUND❑ L-Lj- I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY _ DATE OF APPLICATION 1 HAT PPLICANT If STREET ADDRESS /,�� TELEPHONE NO. . _ , CITY OR POST OFFICE /1 - LICENSE NO.WHEN APPLICABLE 17- WESTCHESTER ROCKLAND WRE la ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Zaccagnino Electric Giuseppe Gennusa 81 Maple Avenue NY, Rye 10580 Located at:74 Tamarack rd Rye Brook, NY 10573 Certificate Number: 1033235 Section: 135.52 Block:3 Lot:5 BDC: Permit Number: EP:22-017-BP:22-009 i A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below, located in/on the premises at: 74 Tamarack rd Rye Brook, NY 10573 Basement 1st Floor :2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 02/23/22 Name Type Quantity Second Floor Rein spection-Second Floor ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. `��G G3� L This certificate is valid for work performed before date of inspection only. YYY e M N c o O N N [� s ■ h� N r"� � C"-' ■ W A x tc � ► '� � x � p �i s' O z Lr) c W z $ = M z1 Z A 00co o a — a fob s O _ 1 C ^ w z a DO A _ ►.M cv � 00 rn a x w � o, a t � 1:4 ~ LA U Q c U o; U W .. 0 : W F.,, �a w gg x w o � U Q W _ p EC EE VE BUILDING DEPARTMENT FEB 2 3 2022 VILLAGE OF RYE*OOK VILLAGE OF RYE BROOK 938 KING STREET RYE ftbox,NY 10573 g�ILDING DEPARTMENT (914)939-4668 W WW.yydgook.org PLUMBING PERMIT AGPPLICATION FOR OFFICE USE ONLY BP#: C'�'C / PP#: FEB2 32 2 Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refuadable) ************************************************************************************************** Application dated, 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. p raj 1.Address: / �`r /�� /l. ► SBL:f 3Sr 6a "3-5 Zone: /Cr / 2.Proposed Work: 3.Property Owner: V ooz& Address: 7 -i40"4-n 4ck AN Phone#: 9/if—93/—A01 I/ Cell#: email: 4.Master Plumber: Ar( i IC'G /Nf. Address: Wo W16z E#'f kut, I62, AeSre't N"/ Lic.#: 6S Phone#: �Sj- /9 S I Cell#: 7 7 emXffi A.t h' :6 I r,y Company Name-.----�PrN IkC Address: 1/�O (,t,/cC P `,1 '- n t /o 5"7S INDICATE FIXTUIfES&LINES TO BE INSTALLED AS PER THE FLOWING 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 1st Floor 2nd Floor I i 31 Floor 41h Floor 5's Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 8/12r2o21 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 befo a me this day of ,20 �— day of L 20Ale Z s.die,rp� ,--W'ature of PrOYAWKY Signature of Applicant U.S 'ClSC�� IVlGZ i /C CL/ Print Name o *o-iTerty er ' t Name of Applicant ON NOTE NEW YORK 01 N q ahI COUn Y aZe o ew YorK MY Commission Eitptr octob�r 14,!A?� i. : -61 P^^G3 0,.1a4',ied in Vlestcheeter County, Commission Expires January 29,20-.&!? 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- 8/12/2021 CE BUILDING MPARTMENT FEB 13 2022 VILLAGE OF RYE BROOK 938 KING S'l<JWET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE &216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MOST 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: 31, ,residing at, t n e) (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 /W legal owner of the property to which this Affidavit of Compliance pertains at; /f W ,Rye Brook,NY. (Job 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 perty er(s)) (PriiyNarne of Pykierty r(s)) Sworn to before me this 12 day of 120.P21 M/4,t4 J�- 10413•COtGELO York Noiavpu (Nosy No ,Lt,t:.,t t count , 1 Qualified in VVtyres JulyPtAnw 31, Commission EV -3- 8/12/2021 Building Permit Check List&Zoning Analysis Address: 7 l 4 wt A,Q 4c�f_—Dam . SBL: 1 -�r,S_7-- — -a Zone:Jam—Use: 2 Const.Type Other. Submittal Date: t t 1-2— Revisions Submittal Dates: Applicant F N N V C A Nature of Work- Reviews:ZBA: J A N 1 9 2 0 2 2 PB: BOT: Other. OK ( ( ) FEES:Filing: S- BP: l O cl C/O: Legalization: ( ) (,y APP: Dated: -/ Notarized:_t SBL: ✓Truss I.D. Cross Connection: ✓ H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current Archival Sealed: Unacceptable: ( ) ( PLANS:Date Stamped Sealed: ✓ Copies:_ , Electronic: Other. ( ) ( ) License: Workers Comp: Liability- Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL.Plans: Permit N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL-Plans: Permit N/A: Other. (✓S ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. PLUMBING Plans: Permit Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. (Jf ( ) H V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter: As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval: notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval;- notes:PROPOSED N REQ EX APPROVED UIRED LSTING OTES JAN 1 9 2072 cir Froze > Sidw Main c°P Accss Ft H Sd.H/Sb: seeTor,Imp Ft.Imp P3ddw. H�jg /Stoles: notes: —tsU S — /t-v�.�- ► t,l, C L.o c FZ go.�l i i N:V V��~V c! 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