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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.ryebrook.org
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Steven E.Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
April 10,2024
John Thomas Eggleston&Marielle Kahn Bianchi
60 Rock Ridge Drive
Rye Brook,New York 10573
Re: 60 Rock Ridge Drive, Rye Brook,New York 10573
Parcel ID#: 135.36-1-15
This document certifies that the work done under Mechanical Permit #22-125 issued on 8/11/2022 for the
removal of an above-ground oil tank has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
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• �9a2 BUILDING DEPARTMENT
ILDING 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 :- 0 1 ve DATE: . - ,�l) - ado l-,
PERMIT# i Z Z S ISSUED: )" Z 1 Z SECT: , 134 BLOCK: LOT: 15-
LOCATION: 1 Q C� (�L' i S 1 OCCUPANCY:
❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION `
❑ Natural Gas 1�P✓.)Oy e �� GU Loc "L-
❑ L.P. Gas
a FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION I '
FINAL LL 02 Ic- l� l 11
0' OTHER
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BUILDING DEPARTMENT
VILLAGE OF RYE,BROOKI JUL2 9 2022
938 KING STUET RYE 13ROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
www.ryebrookmrE BUILDING DEPARTMENT
Application for Permit to Remove, Abandon and/or Install Fuel Storage Tank
(*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester)
FOR OFFICE USE ONLY: PERMIT#: '� ��d
Approval Date: AUG - Permit Fee: $
Approval Signature: Other:
Disapproved:
(fees are non-refundable)
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RQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE:
1. Application Completed by Bonded,Licensed Contractor.
2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder)
3. Your contractor's valid proof of workers compensation insurance.
(Form#C 105.2 or Form#U26.3 /or NY State Workers Compensation Waiver)
4.Fee per Tank: Removal,Abandonment,or Installation: $185.00 per Tank.
5.Dig Safely New York#(dial 811):
6. Inspection by Building Department for removal/abandonment and/or installation.
7. Submit all Manifests&Reports(after work has been completed).
8. Certificate of Compliance will be provided when all requirements are fulfilled.
Application dated, —�� !` is hereby made to the Building Inspector of the Village of Rye Brook for a permit to
remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree
that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County,State&
Federal laws,codes,rules and regulations.
.********.****.****«*****,r,r*,r*****,►****,r*,r*****sr*,ex**,.�*****w****�*R*,►rr,►*«,rye*****,r**,�******,r**,r,r�e�*,t**
Indicate Permit Tyne:Installation ( )•Removal(4-Abandonment( )/Above Ground Buried in Ground( )
1. Address: (2 ev ;z o C ik fZ i d qe D SBLhh: Z35,,3b Zane:: z� —/0
2. Property Owner&Addresses: �60 �C�C /D'�E /d -Vein 9/rPS 7I7n
Phone#:25�-557-33.)--) Cell#: _email:
3. Contractor&Address: ,I�� ���LL �� G� 7/. /'/�i/i7 //y
Phone#: Cell#: Q/may �`�S Ln12Sf email:
4. Applicant: i3 I JNl 6,n J H .11 df in
Phone#: Cell#: (y/y) CC email: ri f7v I A Ili a y� . C fJ►•?
5. Indicate Fuel Type:Fuel Oil L.P.Gas( )•Gasoline( )•Other( ):
6. Number and Capacity of each Tank: �! Ga//,o»s
01 5
7. Exact Location(s)of each Tank: S,A o �(t.F + D►� + n )']D v S
i
8/12/2021
STAT OF NEW Y RK, O 1C OF � TER as:
Y\Gilrg'a poses and states that he/she is the applicant above named,
(print name oY indi j 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 bef re me this ti Sworn to before me this %
day of 20e'? day of v� 24 Z
Z
Signature of Property Owner Srioture of pplicant
Joti,
in r Owner P ' t e of Ap 'e
r
HONY5TERRANERn ublic-State cf NewYorkNOtary Pub
0.01TE6324959 in Westchester Countysion Expires Ja,n Zt, Z023
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.
ANTHONY 5 TERRANERA
Notary Public-State cl New York
NO.OITE6324959
Qualified in Westchester County
My Commission Expires Jun 21,2023
2
8/12/2021
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. JJ
Sworn to before me s Sworn to before me this
day of ,20 day of )��y ,20
Signature of Property
/Owner Si'grinture of Applicant
Print Name of Property Owner Obhc
pplicant
Notary Public
Notary Pubpc,State of,Connecticut
60ft 03/31rM
This application must be properly completed in its entirety and must include the notarived
signature(s)of the legal owner(s) of the subject property,and the applicant of record irs the spaces,
provided. Any application not properly completed in its entirety and/or not properly signed shall b+:
deemed null and void and will be returned to the applicant.
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8/12/2021