HomeMy WebLinkAboutPOD21-003PERMIT #)DQV
SECTION
TYPE OF WORK/
JOB LOCATION
OWNER
CONTRACTOR
EST. COST
CO #�
TCO #
FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING []
RGH PLUMBING
GAS Q
SPRINKLER
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LOW VOLT Q
ALARM Q
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VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914)939-0668 Christopher J.Bradbury
www.tyebrooka.gov
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M.Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
November 13,2024
Steven Epstein&Susan Epstein
233 Country Ridge Drive
Rye Brook,New York 10573
Re: 233 Country Ridge Drive,Rye Brook,New York 10573
Parcel ID#: 129.83-1-5
Portable Storage Unit Permit#21-003 issued on 10/21/2021
This certifies that the portable storage unit installed under the above captioned permit has been satisfactorily
removed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
/to
�yE BRC�uk
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 : �' I Vc DATE:
PERMIT# �t� ( � / OJ3 ISSUED: SECT: / --_�BLOCK: LOT:
LOCATION: .J(z I V� �t/G i_ 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
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BUILDJN4.Di#A1RTMENT
VILLA#E OF RYE1; POOK FoCT 20�)
938 KING ET RYEBIt`' ,NY 10573
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
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FOR OFFICE USE ONLY:
Approval Date: T 2 0 2Q 'Permit#: L7U C.(_�313.P.#if Applicable:
Approval Signature: Permit Fee$150: b1V6_ _ —�Y C1
(Fees are non-refundable)
Disapproved:
t�>F>r*,tw,r*,r*,r,r,r,twww,r+w,tw,twww,tw*wwww*w*w,twww;t;t**www************,r,r*w*w*ww,rw*,r,t,r*zwrwwwwwwwwwww*w,r*w***w:t*,t,r,rw**
PORTABLE STORAGE UNIT PERMIT APPLICATION
Application dated: 10-6—�`7/ is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit
to place a Portable Storage Unit at the property listed below in co orma cc with§181 of the Code of the Village of Rye Brook.
1. Address:- L � C(0 V ILIA ( taf (.e
2. Parcel I.D.#: I Zq ,� ._ ` Property Use: /—il�AIY Zone:
3. Size and Proposed Exact Location of Unit(Describe in detail):__ l r► d/1 lUe LV�
" 1I
4. Unit Delivery Date: Z Unit Pick-Up Date: LU i yt l S /n l
5. Property Owner: Is (tom _( fi p E_a Ste-IV,,
Address: Z?.>' 0 Qt-1VVJy1-`J , F•
Phone# `Q !� Cell# I /1-1' q b-7 _7 J& Fax#
6. Applicant: n
Address:
Phone# Cell# Fax#
7. Storage Unit Company: 17 S YAla'a, P C)Vc LC( f S&A
Address:
Phone# Cell# Fax#
■rrrrarrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrarrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrarr
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 on the next page. 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 $ permit fees are non-refundable.
8/12/2021
STAVE OF NEW YOLK,COUNTY OF WESTCHESTER )as:
(I'Ln' ?`) S rcl'1 ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual sighing 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 1 Sworn to before me this
day of 0)C47� ,- , 203 day of , 20
` otary Public Notary Public
1�
ature of Pr rtf—Owner Signature of Applicant
A�l SA►'ti ��OC'�I t-�
Print Name of PropertY Owner Print Name of Applicant
ALVMDRA H.MARSHALL
Notary Public,State of New York
No.01FR6363711
Qualified in Westchester County
Commisslon Expires August 28,20`
2
8/12/2021
AFFIDAVIT IN SUPPORT OF FEE WAIVER RELATED TO HURRICANE IDA
STATE OF R9 COUNTY OF5U'6�9— askt'�,'
(insert name), being duly sworn, deposes and says
1. 1 am the applicant for a Building Permit/Certificate of Occupancy / Demolition Permit
Electrical Permit/Plumbing Permit/Fence & Wall Permit
Mechanical Permit(Pod Permit ircle all that apply)
2. 1 am the legal owner of property located at 2�
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 , Rye Brook, New York
and I am duly authorized by property owner
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:
` �- Cyll\ Gv1Cc: t r �l
'Lod' to
4. The work described herein arose as a direct result of Hurricane Ida and does not ' c de
Work which was not caused by Hurricane Ida.
Sworn to before me this
Day of� � —, 20 �0, _
Notary Public
ALl"DRA H.MA M11
Notary Public,State of New York DI
No.01FR6363711 OCT 19 2021
Qualltled in Westchester County
Oommisdon Expires August 28,201 VILLAGE 'C" RYE BROOK
BUILDING DEPARTMENT