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HomeMy WebLinkAboutPP23-116 , r , c o N �-+ z a w to x N Otn N �I tn T* 14 O p Ln q 00 z� [� N � e W Z x c) U c A wco Q a z � oz w � H z w O a � O � �/} W O � u z° _ �f-i 7 z z ICI C� � z �T4 M acy j. a 1-4 1-4 00 en a �x O as rat O �I p O U w H o ° W I w o O o vn O U C A U PL, � a w x � : .�... _ 1l. ._.. BUIL�ING DEPARTMENT , VILLAGE OF RYE BROOK NOV 14 2023 938 KING,STREET RYE BROQK,NY 10573 _11 \,(914)939-0668 VILLAGE OF RYc BROOK www.ryebrook.org BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#:_ PP#: Approval Date: Permit Fee: $ QG Approval Signature: QV Other: Disapproved: (fees are nonrefundable) Application dated, �� / o 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:. � � (AjQx1d� �f_/ V-"e- SBL: 113s� of l zone:te C� 2.Proposed Work: C/ e ,� r c S vy1 C aL 3.Property Owner: ¢ .ee cr✓hq� Address: /�/'ham `-�ld � I dov�v/51 / or!0.Z5 Phone#: Cell#: email: 4.Master Plumber: V nA4 L t5 C d X ei C Address: 7 A /e � / haul rct Lic.#:j r Phone#: Cell# 5 66_'_2 0 (( email: A,�s f ► � Company Name: r�r Address-2 As to>! Or,f'4'- r'L. - r C Cr w( 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 1 st Floor 2nd Floor 3"Floor 41 Floor 5tb Floor Exterior 5.*List Other Equipment/Provide Details: LU vt, s,C.4 _�,lG 6 S:L/-,z -r- (Notarized Signatures Required Next 2 Pages) 3/3/2023 BUILDING DEPARTMENT 16 VILLAGE OF RYE BROOK ii NOV 1 �d2 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 www.ryebrook.oriz 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: .3, ,residing at, 11 e t)�,,d rgc� Qy (Print name) � I (Address where you live) 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; Rye Brook,NY. � (Jo A dress) 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. ( ignature of Property Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this (Notary Public) SHARI MELILLO Notary Public,state of New York No.01ME6160063 3_ Quallfied in Westchester county Commission Expires January 29,2011 8/12/2©21 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 Master Plumber for the legal owner and is duly authorized to make and file this application. 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 f day of �'�U�t� �[,20� day of f ,20 _ Signature a Property Owner Signature of Applicant fit/ GH � Print Name of Property Owner Aint Name of Applicant- I 'An* I ( Notary Public MELILLO N � +c,State o New or No.OIME6160063 Notary Public,state of New York Qualified In Westchester County No,01ME6160063 Commission Expires January 29,20i�� Qualified in Westchester County Commission Expires January 29,20-) 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. 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- 3/3/2023 QyE BRC�� cu � 1932 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 : DATE: L ✓ c� PERMIT# ISSUED: BLOCK: LOT: LOCATION: 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 E BR(�j� 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR G y 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 : �= e 1")v U 1 ✓e DATE: 1- 16 20271 PERMIT# -� ISSUED:,/D'/Z "ZJSECT: • 1 e BLOCK: / LOT: G LOCATION: aAS F�7 T OCCUPANCY: 2 /0 ❑ Violation Noted THE WORK IS... [2/PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION a-UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION y 1 ❑ Natural Gas ►.1�{�/� R ��, ,Jc� J'L 3 ^�J' ����� ❑ L.P. Gas �Jn 2 ❑ FUEL TANK ~l a ❑ FIRE SPRINKLER ❑ FINAL PLUMBING L V OJ \ 5 In ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�k �7 198,2� 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 (rC` ;��; --�z ", DATE: /Z " / ! 3 PERMIT# 23 Z C;, ISSUED: /-"7-13 SECT:BS7Z O BLOCK: LOT: 2 LOCATION: 1` rl l�,� - OCCUPANCY: t / c 7 ❑ Violation Noted THE WORK IS... [jj ASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas �A /�e- g— v-va-O 4--ic) ❑ L.P. Gas . ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�� O� Zm cu � .F0 '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR E4SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: (Y ? DATE: /2 PERMIT# PI-7 22 // 6 ISSUED: - SECT: �l 1 t% BLOCK: / LOT: z/ LOCATION: { /ZcJv i Y,4"z- '� OCCUPANCY: Z/C� ❑/Violation Noted THE WORK IS... [I PASSED FAILED REINSPECTION 6 SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑� FOUNDATION [9/UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas s/ ft S/ T J-6 b ti O 7- ❑ L.P. Gas /��Gl /vzP 'y . ze ❑ FUEL TANK // ❑ FIRE SPRINKLER '02 SAN c/ %� S /� Q S� G!�✓tY,� �`� /�{ ❑ FINAL PLUMBING 1 S U // ❑ CROSS CONNECTION / �° / c/f, ❑ FINAL AY i / /u-k/ D >' ❑ OTHER - Ai w 1 /1 va Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, October 18, 2023 7:16 AM To: Steven Fews Subject: Message from UDig NY ****UNMARKED-NOW DUE**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 10/18/2023 07:15 To: VIL RYE BROOK PRIMARY Transmitted: 10/18/2023 07:15 00004 Ticket: 10103-002-717-02 Type: UM-Now Due Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 11 To: Name: EDGEWOOD DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY, INCLUDE STREET TO CENTERLINE NearSt: WOODLAND DR Means of Excavation: EXCAVATOR, BOBCAT / SKID STEER, AIR COM Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: INSTALL SEWER SERVICE, GRADING / LEVELING, PAVING Estimated Work Complete Date: 01/31/2024 Depth of excavation: 5 FEET Site dimensions: Length 300 FEET Width 100 FEET Start Date and Time: 10/13/2023 07:00 Must Start By: 10/27/2023 ------------------------------------------------------------------------------ Contact Name: MARKO GRBAC Company: JABLKO CONSTRUCTION Addrl: 2 YOUNG RD Addr2: City: CATONA State: NY Zip: 10536 Phone: 914-602-8221 Fax: Email:joe.p@jablko.com Field Contact: JOE PIEKARSKI Alt Phone: 914-255-4909 Email:joe.p@jablko.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: WORKING ON BOTH SIDES OF THE STREET. : Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, October 18, 2023 7:15 AM To: Steven Fews Subject: Message from UDig NY ****UNMARKED-NOW DUE**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 10/18/2023 07:15 To: VIL RYE BROOK PRIMARY Transmitted: 10/18/2023 07:15 00003 Ticket: 10093-001-215-02 Type: UM-Now Due Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 11 To: Name: EDGEWOOD DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: THE ENTIRE FRONT & BACK OF PROPERTY NearSt: WOODLAND DR Means of Excavation: EXCAVATOR, AIR COMPRESSOR, SKID STEER Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: SEWER LINE INSTALL Estimated Work Complete Date: 11/30/2023 Depth of excavation: 5 FEET Site dimensions: Length 300 FEET Width 100 FEET Start Date and Time: 10/13/2023 07:00 Must Start By: 10/27/2023 ------------------------------------------------------------------------------ Contact Name: JOE PIEKARSKI Company: JABLKO CONSTRUCTION Addrl: 2 YOUNG RD Addr2: City: CATONA State: NY Zip: 10536 Phone: 914-255-4909 Fax: Email:joe.p@jablko.com Field Contact: JOE PIEKARSKI Alt Phone: 914-255-4909 Email:joe.p@jablko.com Working for: PRIVATE RESIDENCE ------------------------------------------------------------------------------ Comments: WORKING ON BOTH SIDES OF THE STREET. Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, October 10, 2023 5:23 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 10/10/2023 17:23 To: VIL RYE BROOK PRIMARY Transmitted: 10/10/2023 17:23 00001 Ticket: 10103-002-717-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 11 To: Name: EDGEWOOD DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY, INCLUDE STREET TO CENTERLINE NearSt: WOODLAND DR Means of Excavation: EXCAVATOR, BOBCAT / SKID STEER, AIR COM Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: INSTALL SEWER SERVICE, GRADING / LEVELING, PAVING Estimated Work Complete Date: 01/31/2024 Depth of excavation: 5 FEET Site dimensions: Length 300 FEET Width 100 FEET Start Date and Time: 10/13/2023 07:00 Must Start By: 10/27/2023 ------------------------------------------------------------------------------ Contact Name: MARKO GRBAC Company: JABLKO CONSTRUCTION Addr1: 2 YOUNG RD Addr2: City: CATONA State: NY Zip: 10536 Phone: 914-602-8221 Fax: Email: joe.p@jablko.com Field Contact: JOE PIEKARSKI Alt Phone: 914-255-4909 Email: joe.p@jablko.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: WORKING ON BOTH SIDES OF THE STREET. Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, October 9, 2023 2:30 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 10/09/2023 14:30 To: VIL RYE BROOK PRIMARY Transmitted: 10/09/2023 14:30 00028 Ticket: 10093-001-215-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 11 To: Name: EDGEWOOD DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: THE ENTIRE FRONT & BACK OF PROPERTY NearSt: WOODLAND DR Means of Excavation: EXCAVATOR, AIR COMPRESSOR, SKID STEER Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: SEWER LINE INSTALL Estimated Work Complete Date: 11/30/2023 Depth of excavation: 5 FEET Site dimensions: Length 300 FEET Width 100 FEET Start Date and Time: 10/13/2023 07:00 Must Start By: 10/27/2023 ------------------------------------------------------------------------------ Contact Name: JOE PIEKARSKI Company: JABLKO CONSTRUCTION Addrl: 2 YOUNG RD Addr2: City: CATONA State: NY Zip: 10536 Phone: 914-255-4909 Fax: Email:joe.p@jablko.com Field Contact: JOE PIEKARSKI Alt Phone: 914-255-4909 Email:joe.p@jablko.com Working for: PRIVATE RESIDENCE ------------------------------------------------------------------------------ Comments: WORKING ON BOTH SIDES OF THE STREET. Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i