Loading...
HomeMy WebLinkAboutBP23-008PERMIT #Z L DATE: ® BP,./ SECTION BLOCK 01' TYPE OF WORK�� JOB LOCATION__ OWNERyy���i /C9� /°p.41 `✓T t���1�F�ri CONTRACTOR opcz TCO # FEE GATE INSPECTION RECORD DATE INSP FOOTING -- FOUNDATION FRAMING RGH FRAMING 2 INSULATION PLUMBING RGH PLUMBING GAS Ej SPRINKLER ELECTRIC LOW -VOLT O `ALARM O AS BUILT C> FINAL OTHER APPROVALS ARB BOT P8 ZBA OTHER VILLAGE OF R BROOK WESTCHESTER COU , , NEW YORK NO: 23-116 Certificate of ®ccupoucp This is to certify that 2)0J ; Mot qu erl I of. K C Bilonko /y r having duly filed an application on /-i?Q 20 o?3 requesting a Certificate of Occupancy for the premises known as, • - , Rye Brook,NY, located in a Zoning AJ District and shown on the most current Tax Map as Section:/ . / J Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. 3'(_.l J , issued Q 20 o2,3, 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 following New York State Classifications, Use: "3 /7av//UJ;Construction: />UQ for the following purposes: 1 ��J� //7 l s;1e/- YPl�OYQ t16) 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 buildin or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in lebe q►ade,nor 11 d ding be moved from one location to another until a permit to accomplish such change ainedfrom th ding Inspector. Building Inspector,Village of Rye Brook: Date: JUL 2 5 2023 r D (� �j n/j fit, i For ofliec use onlv:_ �C U `/ E BUILDI��-& P SI MENT PERMIT# VIL�Agt OF RYE�1 30K ISSUED: / -1- �3 JUN 2 9 2023 38 KING STREET*VE BROOK, W YORK I0573 DATE: a� �6 err FEE: L�2?�a PAID VILLAGE OF RYE BROOK �� BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION Address: 3 3 & H Pp.,NT Cjle er Rya &RZGbk Occupancy/Use: R -3 Parcel ID#: / ?Y- 7���3,,,,---�—3�p Zone: /a� Owner: p>ha.l� �i'ow,Tr f�/)'Ia/'qurit1 �I/�U/'�ddress:, 9171in C:/��/C P.E./R.A. or Contractor: Address: T /, Person in responsible charge: !/Ma14e Kr`aryh0 A. Address: 3?, o-k4l I'd s- f-ci/'cle— 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: p &jCj77kJ'� TV being duly sworn,deposes and says that he/she resides at 33 / i,q A Ra h (Print Name of Applicant) (No.and Street) in IR /e.5r0 O k in the County of ljV e -1-CA 457PA in the State of-IVY�,that ( it /Town/Vdiaec) 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:$ '7/ui�t. 5-0c) �} y , for the construction or alteration of �')I f�?r i d r /" / kS�eA 3 42 I�/�DOM1 '067 0 V CL / -i e9 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 j �lf�t 20 - Z da of ,�l �� , 20 � �gnaturc of Property Ownef Signature of Applicant r—R[i Name of Property Owner Prin me of Applicant Nota Public Notary SHARI MELILLO S �I MELILLO Notary Public,State of New York Notary Public,State of New York No.01ME6160063 No.OIME6160063 Yi12/2021 Qualified In Westchester County Qualified in Westchester County 17 Commission Expires January 29,20 ZJ Commission Expires January 29,20 QyE BRC��. • ,9�2 BUILDING DEPARTMENT O-BUILDING INSPECTOR 43 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 - - - - - - - - - - - - - - - - - - - - y �1 ydZ�� ADDRESS :— r DATE• 1 PERMIT# LY � �^ ISSUED: � ` SECT: BLOCK: LOT: LOCATION: � � � 6& " 'ck�2Q OCCUPANCY: �z 0 ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ AILED 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 C1 FINAL ❑ OTHER QyE BRC�k. O� Zm w � t7 1982 BUILDING DEPARTMENT ABUILDING 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: � � /` u ��1� ` 01 DATE: PERMIT# ISSUED: -SECT: �f BLOCK: I . •c LET. LOCATION: �`A T � ( � � �- 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 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER W N y N r� w a N pp N Lr) W yN Qz � W, oy000 cn + O o � A 1 2 2 W � � av � H 0-4 -Cl c�i vi V.04 co 0 OIP# O � � � a it ot N ~ z z z v� z o U Ln cu a o vo. is P-4 04 & o a BUILDING DEPARTMENT VILLAGE OF RYE OOK 938 KING Tm:1:r RYE$R', ,NY 10573 JAN 2 4 2023 (914)9 -0661 VILLAGE OF RYE BROOK BUILDING DEPARTMENT INTERIOR BUILDING PERMIT .APPLICATION FOR OFFICE USE ONLY: l �j y� Approval Date: JAN 3 D 20 Pennj.#:�� 3--0( Application Fee: $ / Approval Signature: Permit Fees: S Tc�S' bvC_7 Disapproved: Other: Application dated: 3 lk2 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 xistin building,or for a change in use,as per detailed statement described below.. /l 1. Job Address: 3 �Oi�?1T 'C/ , o4 SBL: �0 /3 'J'3 to Zone:L '� 2. Proposed Improvement. (Describe in detail): ao/'? kAv /i o� 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: Yes: If yes, indicate: TIER I: TIER Il: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existin -automatic fire suppression system(fire Sprinkler,ANSI,System,FM-200 System,Type I Hood,etc...) :No: Yes: (11'yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of'detailed engineered plans) 5. Occupancy;(I fain.,2 fain.,comm.,etc...)Prior to Construction: /fiq/2 After Construction: 6. N.Y State Construction Classification: N.Y. State Use Classification: 7. Property Owner: ,A/ � d/�? Address: Phone# Cell# fd/s-3a2 /— 0�7 email: S. Applicant: Address: Phone# Cell# email: 9. Architect: Address: Phone# Cell# email: 10. Engineer: Address: Phone# Cell# email: 11. General Contractor: Address: �9L AAIX/ ov Phone# Cell# ���/3-3©iQp� email: 12. Estimated cost of construction $ SC9C0 (No"I L 7'he estimated cost shall include all labor,m�ater�attolding•fixed equipment,professional fee'.and material and labor which may be donated gratis.) �/ 13. Job Timetable: Start: Az 3 Finish: d (1) 9/12/2021 BUILD - ► MENT VIL E OF RX OOK EJAN 2 4 2023 938 KING ET RYE BR ,NY 10573 "s -0 `�.,. -� 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:. residing at, TD;,J � rf l G ZY G' /1/tV (1,6111 name;) (Addre�s 1Micrc wU o%r) 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; 3-3 / +q i I o i A ' L C;/rc/d , Rye Brook,NY. (loh �ciclrc.$) 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. LO�T (JignaUirr cr€Prc3P�aty f)s rErrf sl1 r� (Print Name ofl'ropcn� (), ncr(s,) Sworn to before me this ( 3 day of 20 i Nlotoi% 11uhlic•) SHARI MEULLO -+curry Public,State of New York No.o1ME6160063 Qualified In Westchester County commission Expires January 29,202-J, I-'! 8/12/202) 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. STATEOF NEW Y RK.COUNTY OF WESTCHESTER ) as: or Q Id T Mgr o N/A being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing gnmg as the applicant) and er states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the R , 4g1A64,rZ1 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. 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 Sworn to before me this day of , 20 day of 20'4 `a3 Signature of Property Owner Signature of Applicant zlw 'r./W_N� ame of Property Owner t Name of Applicant sL Notary Public otary Public SHARI MELILLO SHARI MELILLO Notary Public,State of New York Notary Public,State of New York No.OIME6160063 No.01ME6160063 Qualified In Westchester County Qualified In Westchester County Commission Expires January 29,202D "�ommrssion Expires January 29,2021 I4 8/12/2021 i' 0 '1. Ln � z • (y Vi 00 0CA ►� N z � g v3Q � _. C WWLnaR t 0-4 :w A U pL U Z i V W A (ia Z W r z00 ao MM V a 3 zZ W o QA 00, z $ U U 3 x U W z '�.., 76 ` x M z v z Q oA r = s' BUIL MENT VILI AC.E OF RYE OK MAR 2 3 2023 ID 938 KIN `�' , c r RY i B ,NY 10573 ' �#) 9-06�8 VILLAGE OF RYE BROOK ..or BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE tiSE ONLY BP#: EP#: 0 Approval Date: MAR 2 7 Permit Fee: $ Approval Signature: Other: f lJ Application dated, ,3--0�3`c)3 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. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. n 1.Address: 33 High Point Circle SBL:A'/• 73—/-36 Zone:PUP_ 2.Property Owner: :I?*fI a I d T Aran JA- Address: PD n f C I rG _ Phone#: 9/Y- p37 (p76 Cell#: email: ��jRTR � '�L•�OI�1 3.Master Electrician/Licensed Installer: Fabian Pardo AddreesVan Wyck St, Ossining NY 10562 Lic.#: 1670 Phone#: Cell#: 914-557-2888 email: pardo@westputelectric.eom Company Name: Westput 24/7 Electric, Inc Address: 8 Van Wyck St, Ossining NY 10562 4.Proposed Electrical Work/Fixture Count: MASTER RAHTROOM- Supply and install switches, luminaries, receptacles on existent wiring 5.3rd Parry Electrical Inspection Agency: State Wide Inspections Services STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Fabian Pardo ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the Licensed electrician for the legal owner and is duly authorized to make and file this application. (Master Electrician i Licensed Installer) 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 regulations. Sworn to before rqe this ) )- Sworn to before me this day of`\Ca f' ,20 day of �►•^QI-G� ,20 a �ignatureof Property Owner �14(_1`1 e of Applicant 'U r) i�JJ 0 t Name of Propertk O tc4 ame of Applicant Notary PuWkARI MELILLO Notary PghkfR1 MEULLO Votary Public,State of New York Notary Public,State of New York No.01ME6160063 No.01ME6160063 Qualified In Westchester County —�1 Qualified In Westchester county .ommisslon Expires January 29,20� I �ommisslon ExPlres January 29.20 /3/2023 STATE WIDE INSPECTION SERVICES, INC. Service With Integrity ••0 • • SWIS JOB APPLICATION •2.7224 1 fax 914.219.10621 SWISNYcoml SWISTRAINING.COM Office Use Elect. Permit# Date Bldg Permit# Sq Ft Plumbing Permit# Final Certificate# City/Village Zip Building Dept. County Address , Cross Street Section Block Lot Owner Name/Address different than above): }: _ �%; ? r( 1F,; 1 �otact Number (f❑Basement ❑ 1st Fl. ❑ 2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic Y❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation i LA DD MAR 2 3 2023 VILLAGE OF RYE BROOK ( BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address ` ; :r f? Name License# Date Signature Address City/State ; - Zip Code Company Phone# �n� State Wide Inspection Services v 1080 Main Street _ DD Fishkill, NY 12524 MAY 2 3 2023 845 2 Phone 914-219-1 9-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@swisny.com Service With Integrity BUILDING DEPARTMENT Website: www.swis�.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Westput 24/7 Electric Inc Donald Krom Jr. & Marguerite Krom Fabian R Pardo 33 High Point Circle 8 Van Wyck Street Rye Brook, NY 10573 Ossining, NY 10562 Located at: 33 High Point Circle, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-070 124.73 � 36 Certificate Number: 2023-3738 Building Permit Number: BP 23-008 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 33 High Point Circle, Rye Brook, NY 10573 The Second Floor Master Bathroom was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below, was found to be in compliance on the 23'd day of May 2023. Name Quantity Rating Circuit Type Switches 05 Receptacles 02 Luminaires 07 Exhaust Fan 02 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. • �i �i�ii��i�ii�i�i�'i�'I " �i�il�i�ir�i�`i�i�i�i�i�'i�i�i���� "i�i�r�i�i�i`�i ��`�i�l��l�i �i �r O a ^ N N oC q a� Lnn U f Wm .. en ° H M w � g p � O x L aC ,• Q >" � O c� W � � � x w w ao z N H 00 cn > Q V z t F 06 ICI w ►•" G; z cn w F T a M w m r � 1•.�1 F�+y �.1 � C� °� ° x q °° � w o ] V x V a 3 8 o z G y o c x v w za W , x en w �0, z ° o } H M A a4 W H CL � a .. ,� �I a a z f w 5 < D EC ENE yE.DRC1uh, Bum MENT FEB 15 2023 VIL E OF RYE K 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY #: —U EP#: Q3-0 qO Approval Date: 6 2 Permit Fee: $ Approval Signature: Other: Application dated, e ( l/ta/rrl 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. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: S r Gi., f)n ch+ C t rr(,e SBL: Jay " 73 —1- 30 Zone:Pu b 2.Property Owner: n o n u I d 4r-n ✓n 1 Address: 3 1�1 P C 4 a Phone#: � Y S S a/ 05 7-f Cell#: email: 3.Master Electrician: ve RrVKX 0" P/QL}o( Address: �l 16FhCAJO tc /! / ) I (OGQ3 Lic.#:�sf�Phone#: 9111 ;,OQ � Cell#: email:kil4alolie /C MG'//• Company Name: )U K t vi ct(0 7 0 e C r C(U y7 hr Address: Q 16115;OO K,o (l P ( Co 41 4.Proposed Electrical Work/Fixture Count: 3 5.3`d Party Electrical Inspection Agency: «*,r,r*wr*rt*,t,tt*w«,r*,r*,►,r,►,t,t,trrw**w**tr**,rt,ttr*,t***tr+r*tr*,rww,►*********,r,r****************,r*********,r,r********,r*« / STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: J ✓G (yl Lt /C_� ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name 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 E'/PC JI'-i/ ro,7�/'C+G��— for the legal owner and is drily authorized to make and file this application. (indicate architect,contractor.agent,attorney,etc.) The undersigned finther 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 regulations. Sworn to before me this Sworn to before me this 10 day of 120 day of X Signature of Property Owner t e of Applicant JOB C4 t,,,,• Print Name of Property Owner Prin licant Notary Public Notary Public =C-) i OF N n � %p (>/2Q02T a STATEWIDE • 1:1 Main Street, Fishkill, NY 12524 1 email:office@swisnycom SWIS JOB APPLICATION tel84 1 914.219.1062 SWISNY.com • • Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village ;`�� �rt� Zip Township 4 County Address -2 ?0`nT Lkri Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number Taw-; i ❑Basement ❑ 1st Fl. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑Attic ❑Outside EIResidential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps —- ` Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information of C—r 1= eT A, reh R�-`6 H5 FEB 15 2023 —7 5 w k VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SMS.This application is Intended to cover the above listed Items to be Inspected,Hat any time of inspection additional items have been installed,you are authoriffid to make the inspection and adjust the fee for the additional Items Inspected.The applicant declares that there is no open applications for the above address with any other inspection company,The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name Date ti; r = Signature Address City/State Zip Code y License# Phone# Y t N _ CL H a M a O a ,C w Z M M z a C q rx �o Ln o'o V O �h w\/ LL � (/� W O S U a W Zoo � � � z Z w i 0-0 Ln 1-1 Z M Hcr Z w O a' < c w � O V a � q zz U O :; V Z o a O Ln p � � A a L4 Z W. < M A a w Cz 0 QI as a � a w xe c i BUILDING DEPARTMENT VILLAGE OF RYE BROOK MAR - 1 �C!13 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www.ryebrook.org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: Q -3-,Qoe PP#: 03 Approval Date: MAR 1 0 2023 Permit Fee: $ /0 CJ Approval Signature: Other: Disapproved- (tees are non-refundable) ************************************************************************************************** Application dated, 3 7 c:�2 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:-U 1J 4 Oi4 /i-Gl � 3?190 A17ll SBL:�o��i 7,3—/—�(p Zone: U 2.Proposed Work: 3.Property Owner: 1/V)l A /W 7 rC" _Address: 33 pot A'� gre-I n �Ta Phone#: ?/41-f37-1f674 Cell#: email: 2) kR(7M�ReGMR1L. G8"7h 4.Master Plumber: , ry-'�Q Address: acrCtC 1 Lic.#:(".16.L P ne#: Cell#:Ct 14g4zp email: •GO Company Name: Address: INDICA 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 1 st Floor 2nd Floor + 3rd Floor 41 Floor 51 Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 3/3/2023 s•rAT OF NEW YORE,COtt 'iY OF WESTCHES'rER ) as: .�_C_ _......... u._..,being duly sworn,deposes and states that heishe is the applicant above named, (print nary c nC nd� "Igrung as ttx appin:m8) anti • cr stales that(s)he is the legal owner of the property to which this application pertains,or that(s)hc is the d� for the legal owner and is duly authorized to make and file this application. ` —Co _. F�Tcatc UMN crxrtrar.3rrr,agent.anruney,etc.) prat 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 before me this day of ��-l-G ,�} �` day of _ Signature of Property Owner S g �pp cant Print Name of Property Owner Print Name of t ant C'� f•C-ems`-` Notary Public SHARI MELILLO Note W6 MELILLO Notary Public,State of New York ,Votary Public,State of New York No.01ME6160063 No.01ME6160063 Qualified In Westchester County Qualified in Westchester County ommission Expires January 29,20ZI Commission Expires January 29,20X—) l leis application must 1v properly t;omplcled in its entirety and must include the notarized signatui 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 siitned shall be deemed null and void and will be returned to the applicant. art7rl�at D,BUtLDIN1ItTMENT VELL'AGE OF RYF'BROOK MAR - 7 2023 12) 938 KING SfJWF,T RYE Root ,NY 10573 i i -VILLAGE OF kYc EROOK Cti4j.. -(116 1'11il. DiNG C�€�rARTMEN'T wrsrvv. ic.o , *####f#fif4*4if4#4##44##*#4*#4*f4f#i#*###4if4i#*ft**f*4#*##f#4#if#*f*f*#4#f4*fi#**f4#4##f*#4if4ff#fff44 AFFIDAVIT OF COMPLIANCE VILLAGE:CODE §216 f 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: ) �` �1f,�_J� 1YI V7• ,residing at, 3 �I'3�ut mtrn,.i � tidt�m .,:?,rn;,qua sicci being duly sworn,deposes and states that(s)he is the applicant above named,and further states that(s)he is the S legal owner of the property to which this Affidavit of Compliance pertains at; 3.3 dlj h _Red&22?t &X ,Rye Brook,NY. W IFt1 , 1,i.lrr»I 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. 7� I i l+gaalu)e oi I'n�tny i hanert,�� (Wins Name of t'rinvnN()%%1xri.$)) Sworn to before me this d%af V-\0-C'c_N, ,20'k-1 _ ► I N Ir%1'uhiic j i SHARI MELILLO ; .Votary Public,state of New York No.0IME6160063 Qualified in Westchester county commission Expires January 29,20 gt 12Rb21 Buildin Permit Check List&Zoning Anal s' L Address: -33 4 J 1 L. Zone: 0'•y,n Use: Z-Sy Const.Type: V Other. Submittal Date: Revisions Submittal Dates: Applicant: Ct & Y=m �(l Nature of Work t Q-x CU Ck Reviews:ZBA: , �� 2� BOT• Other. NEED OK O _ ✓ a— ( ) (�FEES:Filing. BP:_ �C/O: Flood Plane Legalization: APP: Dated Notarized: SBL: - Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone 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: L.-- Workers Comp: ✓Liability: ✓ Comp.Waiver. ✓Other. ( ) ( ) CODE 753#: Dated N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Perris N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other: O PLUMBING Plans: Perris Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) 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 Si offLetter. 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: APPROVED REQUIRED EXISTING PROPOSED NOTFS Date: J AN 3 ® 1013 Arex Circle: Fmptag Front Fronc: Ste: Rcar. Main Cov Accs.Cov Ft.HS : S .HS : SFA. Tot,!W: EL Par ' Height/Stories: notes: • w Laura Petersen From: Donald Krom <dkromjr@gmail.com> Sent: Friday, March 24, 2023 5:45 PM To: Laura Petersen Cc: Steven Fews Subject: Re: Interior Building Permit - Requested Change.... Hi Laura, I just saw this. I apologize if I should have altered you to this earlier. We now have WestPut 24/7 Electric and they are carefully going over all the work as part of taking over the job. WestPut will get the entire job inspected AGAIN with SWIS at this rough-in stage and then again at the final stage. So yes, please remove Joseph Rinaldi as they were associated with the previous contractor that we already removed. Thanks again for the extra work on your part. Regards, Donald T. Krom,Jr. 33 High Point Circle Rye Brook, NY 10573 Mobile: 845-321-0574 On Mar 24, 2023, at 3:36 PM, Laura Petersen <LPetersen@ryebrook.org>wrote: Good afternoon Mr. Krom, On Thursday March 23 the Building Department received an electrical permit application from WestPut 24/7 Electric. If you are no longer using Joseph Rinaldi as your electrician, please verify that on this email as that permit will need to be voided out. Thank you and have a nice weekend! Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 loetersenaryebrook.org From: Donald Krom <dkromjr@gmail.com> Sent:Wednesday, March 22, 2023 3:35 PM 1