Loading...
HomeMy WebLinkAboutMP22-118 00 , • 4 a �° N � v GL y � o y p; G F1 o Cn 4) �Q a o 04 cn a v o w �o o p o 0 o z o © w � e=a OF B ° v w • W Q � o h o ^ti 0. x r � o W vo A.. y • �-+ oo (� f-� 0 Vx a W d o 4-. U _ w Q V Uz tj o w .80 CX) � W W � 4x u M1 = 1�1 O w A v • j F o � 2 � — r_, 0u . 'o �a d O W V O z $ C Mb fly OG pG � p p fl A z 0-4O a 0 +� � � a� - �I fjD LEfl VILL OF BROOK BU NG DEPARTMENT JUL 2 0 2022 938 KING 1't BROOK'710 573VILLAGE OF RYA BROOK (914)93 vv.rvebror BUILDING DEPARTMENT APPLICATEMOR PERMIT TO I AND/OR REMOVE ECHANICAL EQUIPMENT OFFICE USE ONLY- Permit#: M� — Building Inspector: Fee Paid ' QJ,D-' ,� Date of Approval: JUL 1 49,-, d— I)D Bldg/Use Class: Res. REQUIREMENTS FOR RELEASE OF PERMIT: (A CERTIFICATE OF COMPLIANCE is REQUIRED To CLOSE OUT THIS PERMIT) 1.Properly Completed& Signed Application. 2. Payment of Application Fee: Residential=$100.00; Commercial =$250.00 (fees are non-refundable) 3. Site/Staging Plan as required by the Building Inspector. 4_ Sealed Construction/Installation Documents & Specifications as required by the Building Inspector. 5. Copy of Licensed Contractor's Liability Insurance. (Village ol'Rye Brook must be listed as ceniticate holder)& Workers Compensation Insurance on a NYS Board form (Form#C105 2 or Form#U26.3/or NY State Workers Compensation Waiver) 6. Payment of Permit Fee: Residential=$15.0011000.00 of Construction/Materials Cost with a minimum fee of$100.00. Commercial=$25.00/1000.00 of Construction/Materials Cost with a minimum fee of$275.00. 7. Inspection by Building Department for removal and/or installation. (48 hour notice required) 8.Any electrical work requires a separate Electrical Permit and Electrical Inspection. 9.Any gas/plumbing work requires a separate Plumbing Permit and Plumbing Inspection. Application dated, /—cDO" is hereby made to the Building Inspector of the Village of Rye Brook,NY,for a permit for the installation,modification,and/or removal of the specific Mechanical 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 the approved plans,and with all applicable Local,County,State&Federal laws,codes,rules and regulations. 1.Address: 975 Anderson Hill Rd, Rye Brook, NY 10573 SBL: 1' T,_�,'I - (-'' Z Zone: v-S--> 2. Property Owner: Charles Steven Cohere Address: 750 Lexington Ave,#28, New York, NY 10022 Phone#: (212)838-1800 Cell#: email:_ ccohen@cohenbrothers.com 3.Contractor: David Popp, Matco Service Corp. Address: 584 Mineola Ave, Carle Place, NY 11514 Phone#: (516) 876-9100 Cell#: (516)523-7754 email: dave@matcoservice.com 4,Applicant: Michael Scorrano Address: 50 Main St, Ste 1000, White Plains, NY 10606 Phone#: (914)263-1199 Cell: (914)420-6507 email: mscorrano@enpg.com 5.Scope of Work:New Installation( )•Replacement( )•Removal(A•Other( ) 6.Type of Equipment: Two (2) Electric Chillers 7.Location of Equipment: Existing Boiler Room 8.Cost of Equipment including Installation Cost: $ 50,000 cost to remove and rig out of the building to another location. l 8/12/2021 STATE OF NEW YORK.COUNTY OF WESTCHESTER ) as Michael Scorrano ,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 Professional Engineer 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 4'�47 Sworn to before me this 18th day of Jo lyir day of X _X JUly ,20 22 /4/.4` Signature of operty caner Signature of Applicant Charles Steven Cotten Michael Scorrano ;Pri&ntam5eof Property Owner Print Name fApp ican ic N a P c 1M d''dc city dN,York MADELINE C. 6lTRONE d Notary PubIVC,stdti Of New YorEc �tr,�eia Y C.-ty No. 01 MA6030446 0�;1,ouF.�tyirsJrtr - Quallfl*d In Wsibichailar COunty j This applicat9RMF4i4k Ri*Biiaxl rt��lx�t�t 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 x,1212021