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HomeMy WebLinkAboutPP22-023 a , s N C> \ k W a 1,4 cn Ln " z Q � © O o _ © W �" Q a a � o A A w .1 w (� � o U W r/y z cV w U �--+ U 00 Q u 041 r'1 O O w _ .-- U 04 U Cn rwr W rA P p � F1 En p CCA od BUILIGEPAIMENT FEB 18 2022 VIL 4A E OF RYE �QOiK 938 Kttvc;< ET RYl B � i,NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT ;t_ t.or s PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: _ PP#: cy,:) 3 Approval Date: FEB 2 3 2022 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 02/17/22 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. 1.Address: 137 Brush Hollow Cresant SBL:/q.,)9. 7b —/—/Z)3 Zone: Ab 2.Proposed Work: Repair dislodged lateral sewer line in driveway. 3.Property Owner: Hope Klein Address: 137 Brush Hollow Cresant Phone#: Cell #: 914-473-8009 sail: mrshopeklein@gmail.com 4.Master Plumber: Salvatore W Morlino Ades. 1 Bonwit Road Rye Brook NY 10573 Lic.#: 725 Phone#: Cell#: 914-260-1592 email: salvatoreserious@gmail.com Company Name: Westchester Plumbing And Heating Address: 1 Bonwit Road Rye Brook NY 10573 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 Tubs Service Service Sewer LP Gas Basement Ist Floor 2nd Floor 3 Floor 4 Floor 5�1 Floor Exterior 1 1 5.* List other Equipment/Provide Details: . Repair dislodged lateral sewer line in driveway. This may involve a excavator and or hand diging location of repair depending on utility location (Dig safeTicket# 02162-001-281-0). (Notarized Signatures Required Next 2 Pages) -1- 3/21/19 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Salvatore W Morlino ,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 Contractor 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 17 Sworn to before me this 17 day of February ,20 22 day of Febr ,20 22 Signature o erty Own6ir Signature of Applicant Hope Klein Salvatore W Morlino Print Name of property Owner Print Name of Applicant Notary Public �wqv*-4(%+� Notary Pt }F,°i~TTl=Mr)RUtNO P'NV'5 +@*I Nt 3 Bt �e csi�1s i liar 1,ctr�rV lQ p1t 1 Grottth'�v yo.G1 NlO01 i261 � 3. -r 5`:i!E�rJ {t�5'V�r ae;[r0gr oaunPyZ _, `'.jai,�,20 1- This application tatltttt"Mae 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 4 BUM MENT E c E � \vi�I7 VIL E OF RY K 938 KING *`' ET RYE BR NY 10573 FEB 18 2022 (914)9 ' 39-5801 VILLAGE OF RYE BROOK i ww .t BUILDING DEPARTMENT I 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 YOM COUNTY OF WESTCHESTER ) as: 3f, Hope Klein , residing at, 137 Brush Hollow Cresant (Print name) (Address %here)ou li),cl 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; 137 Brush Hollow Cresant , 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 Property 0... s)) Hope Klein fPnr Vamr of Proper[ Ch�ncrfsll Sworn to before me this 17 006 day of February , 2022gi0 Y ;fir' D`•o•Q�g1r�� r.,j�,.r, (Notan Public.) u.t1i� ' tiw -3- 3/21119 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Wednesday, February 16, 2022 7:33 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 02/16/2022 19:31 To: VIL RYE BROOK PRIMARY Transmitted: 02/16/2022 19:32 00001 Ticket: 02162-001-281-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 137 To: Name: BRUSH HOLLOW CRES Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: WORK IN DRIVEWAY AREA NearSt: BRUSH HOLLOW LN Means of Excavation: BACKHOE Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: EXCAVATOR AND HAND DIG Estimated Work Complete Date: 02/21/2022 Depth of excavation: 6 Site dimensions: Length 7 Width 5 Start Date and Time: 02/21/2022 07:00 Must Start By: 03/08/2022 ------------------------------------------------------------------------------ Contact Name: SAL MORLINO Company: WESTCHESTER PLUMBING & HEATING Addrl: 1 BONWIT Addr2: City: RYE BROOK State: NY Zip: 10573 Phone: 914-937-1613 Fax: Email: salvatoreserious@gmail.com Field Contact: SAL MORLINO Alt Phone: 914-260-1592 Email: salvatoreserious@gmail.com Working for: HOPE KLEIN ------------------------------------------------------------------------------ Comments: REPAIR LATERAL SANITARY SEWER LINE. THIS MAY NEED TO BE HAND DUG DEPENDING ON LOCATION OF UTILITIES. Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA / WSCHSTR CONED SUEZ WTR WESTCHESTER i Q�E BR(�k, cu � Q�x 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑C ASSISTANT ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:_ PERMIT# I C"_V ISSUED: JEC BLOCK: 1 LOT: `L-7, LOCATION: 1 k hv ' OCCUPANCY: — 0 l ❑ VIOLATION NOTED THE WORK IS... ACCEPTED 0 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