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MP24-001
PERMIT #�/�� SECTION TYPE OF WORK. JOB LOCATION J1P4i Est. COST %Zb ✓co #�L(2 tC0 # FEE S LSD -PA FEE DATE INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION P r---� RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT FINAL y)76036co ©(0/ p a ,zas 4511ec4lo�lcal C041002ac,74* OTHER APPROVALS ARB BOT PB ZBA OTHER R c 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. hlein (914) 939-0668 Christopher J. Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 29,2024 Dan Zhu 5 Deer Run Rye Brook,New York 10573 Re: 5 Deer Run, Rye Brook,New York 10573 Parcel ID#: 135.65-1-41 Mechanical Permit#24-001 issued 1/4/2024 for a New Generator This certifies that the 20kw natural gas fired generator,installed under the above captioned pernut has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D �� �� D�j BUILDZBROOK, MENT For office use onl t PERMIT# 07 —pOJ AUG 2 1 2024 VIL OK ISSUED: 938 KING STRE YORK 10573 DATE:—c�/—a VILLAGE OF RYE BROO1< OY FEE: Sp PAIDX BUILDING r)EpARTMENT 0v 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 *tt****ssssttt***tsssss***sststs****tss�s*ss**t*/ss*ssst**/*�*sssssss*ssas*ssss*s**sss�ss//*s/s/ss**/*s*ss*sss*ss**s*s*sssssssss*** Address: s— ,DeL-2 /t 11& Occupancy/Use: / t-44� Parcel ID#: ��� g5 7 Zone: Owner: Z Address: Ali P.E./R.A. or Contractor: / l Address: Person in responsible charge: 4.Address: �y � a 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,,, 11 COUNTY OF WESTCHESTER as: V D))/�/ -� being duly swom,deposes and says that he/she resides at 15— `_ P2 �2 (Print Name of Aoolicant) (No.and Street) in— 1 7 E!J )e00K in the County of� in the State of L� ,that (City/Town/Village) �7 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:S (o, 50 O — for the construction or alteration of: - 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 bef re me this day of M ,20 day of , 20 l -- _4 (A a) Ll�� Signs f Property wner S,WairreckrWlicant bek C JU U4 ) Jos A"wIlle Pri t Name operty O er nt of Ap leant 1 IM KRATZNbiakr Pub Notary Public-Stale of New York NO"Public- a e of New York__- No.01KR6226244 No.OIKR6226244 Qualified in Westchester County Qualified in Westchester County My Commission Expires 08/02/2026 My Commission Expires Ob102/2026 �QyE f3R(��• o tim 110 1932 BUILDING DEPARTMENT 0 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 - - - - - - - - - - - - - - - - - - - - ( � JCi ADDRESS • DATE: PERMIT# ISSUED: ' SECT: l' Jv BLOCK: LOT:_ _ LOCATION: T 1 _S U 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 ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION -- ❑ FINAL ❑ OTHER QyE BRC�v� O�` tim l7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR [a 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 —1) r t ( 1z U ki DATE: /2- - Z fl- Z O2-3 PERMIT# 13- I Z-1 ISSUED:1 - S- Z SECT: 13S LS BLOCK: I LOT: LOCATION: C�C]V�SE� �� V�� OCCUPANCY: 2 10 ❑ Violation Noted THE WORK IS... D PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION Cy'" Natural Gas a S S 7 ❑ L.P. Gas S S u e ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET.RYE BROOK,NY 10573 (914)939-0668 .FAx (914)939-5801 www.ryebrook org rtr+r*r►rrr,.*rrr:►rtrt,rrrwswr.»»»,r+r»»..»r.»ww»rr»».»ww,r.r»+»w,rwr»*»»wxrrt+rr+rr*�rtw»*rrk»»»►w»�rtw*w*w»»»rr BLUE CARD CERTIFICATION This document certifies that the natural gas piping work as performed in accordance with Rye Brook Plumbing Permit#:PF 77 ,issued: _!Z' of the Code of the Village of Rye Brook&the NYSUFP B,a d'ha s ucs in cessfully passed the leakagliance with the e test.lions Address: 1 F r_'� _v u Parcel ID#: Property Owner: Z N U Inspector: Dated: 1 L 20. 20Z3 Plumber: 5 Lic. ; 9 _ Dated: �t - ZO - 2 O L j Plumbing Contractor: �p S -1- 1� tLc � [' .� � 1SS� • �. /. i r "J <` �' O b _ Vi N C W N o N CL N � . •� h Cn vi p z W C a v Q, moo 44 ' 0-0 W IRt � a ww z A oO3 � waxN x � v � v � i U }z+ w u [� p L U] Z CUD) oo ° v ° - ., vo .. Z O i z010 ,Mimi 03� � � �T w L W z ow O W O° Cl) z A © Q c°� ° ~ v �..� zO w Ei oob � w a O \ `� ' z Uzi b a o 4 W " , ,>. otc �l {r L M--� d- R, .a V. as U W G1 �4 W �-. O H a. cn ;v 3. soPL4 \ M • 8 V W U O w O z z 1-4 V O W O z U � °` � � o � - U-) z � W � O O � •" �o � a 0 v. a a" a �;- s BUILDING DEPARTMENT VILLAGE OF RYE BROOK DFC _ , a� 938 KING STREET RYE BROOKy NY 10573 23 (914) 939-0669 www.ryebrook.or(.1: FOR OFFICE: USE O\L1'. Approval DateJ AN 0 4 Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: ZJApplication Fee: Permit Fees: APPLICATION TO INSTALL A PERMANENT STANDBY BACKUP GENERATOR Application dated: 11/30/23 is hereby made to the Building Inspector of the Village of Rye Brook for the issuance of a Permit to install a permanent standby backup generator in accordance with§250-4.1.of the Code of the Village of Rye Brook,as per dotailed statement described below. Please note that electrical and plumbing permit applications must be filed separately by those licensed professionals,and that separate permits are required for the installation of any related fuel tanks.Further note that all applications for commercial use will require a site plan approval from the Village Planning Board prior to the issuance of any permit. 1. Job Address: 5 Deer Run 2. Parcel ID#: 135.65/1/41 Zone: R-12 3. N.Y. State Construction Classification: 5B N.Y. State Use Classification: 1 Family 4. Proposed Generator&Fuel Type(Describe in detail): & g &/ W 3 V r LsqIALSr 5. Property Owner: Dan Zhu Address: 5 Deer Run, Rye Brook, NY 10573 Phone# Cell# 626-217-6150 email: juliazdll@yahoo.com Applicant: Dan Zhu Address: 5 Deer Run, Rye Brook, NY 10573 Phone# Cell# 626-217-6150 email: juliazdl 1 @yahoo.com Architect or Engineer(if applicable): Mark MUstacato, AIA/ RMG Associates Address: 350 Theodore Fremd Ave., Rye NY 10580 Phone# 914-698-5589 Cell# 14- 74-6042 email: info@rmgarchitects.com General Contractor: Address: Phone# Cell# email: t 611/2023 6. Give exact dimensions from proposed generator to lot lines: front yard: 41' rear yard: 178' right side yard: 11.4' left side yard: NA 7. If building is located on a comer lot,which street does it front on: NA 8. Will the proposed project disturb 400 sq.ft.or more of land,requiring a Stormwater Management Control Permit from the Village Engineer as per Chapter 217 of the Code of the Village of Rye Brook? Yes: No: V 9. Will the proposed project require a Site Plan Review by the Village Planning Board as per Chapter 209 of the Code of the Village of Rye Brook? Yes: No: (provide detailed drawings as per Chapter 209) 10. Will the proposed project require a Steep Slopes Permit as per Chapter 213 of the Code of the Village of Rye Brook? Yes: M. 7(provide a detailed topographical survey) 11, Is the lot or any portion thereof located in a Wetland as per chapter 245 of the Code of the Village of Rye Brook? Yes: No: V (provide a detailed survey indicating the Wetland&Buffer Zone) 12. Is the lot or any portion thereof located in a Flood Zone as per the FEMA Flood Insurance Rate Map#36119CO279 dated 9/28/07? Yes: No: Y 13. Will the proposeVd/�roject require a Tree Removal Permit as per Chapter 235 of the Code of the Village of Rye Brook? Yes: Nu: b (a tree replanting schedule may be required) 14. Does the proposed project involve a Home-Occupation as per Chapter 250-38 of the Code of the Village of Rye Brook? Yes: No:V If so,indicate: TIER I: TIER II: TIER III: 15. What is the total estimated cost of construction: $ 6500.00 (Me estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis) 16. Estimated date of completion: 12/1/2023 STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: Dan Zhu ,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. Swom to before me this d Sworn to before me this 3(J-N dayof NOVW)D(. ' , 20 dayof Iinn tf , 20 aj Sign 'o Property Owner Signature of Applicant Dan Zhu Dan Zhu Print Name of Property Owner Ashley Gslluzzo Print Name of Applicant Notary Public,State of New York Registration No.01GA6416885 Qualified in Westchester County Notary Public Commission Expires April 26,2025 Notary Public 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. 2 6/l/2023 r O � N a U � o (A U .� .. O ■ W vai �! ►Z ` a 4,-., w �"� a O aW, Z a v ` H `9) a. cn CA - Z � � Q o � w ° O ozo O O A d N _ 0 p � NLn 00coo p W ►- ZCO a w U wo ■ � � � W � W H � a _ 0 W w Q W ,� �I W N ; z � ' V w e O w O o � a. O o Z z U z CA " `Z G1 Mai M no o z v v z ■ w �.,, cn M 7 o e O It � A ' 1-4 �, V v W ■ pMp `J W N V a w b3 z ►w z H Q A zLn u� { w o w z � W x A z W o `" a A. ■ LC)0 a cn z w a oin a x � Y f. �a941#A#A4;4&4;e4aaaa4;a414144i4;$4v4194;4;4;aaa414aaQaaaaQ4#40 BUILDING DEPARTMENT VILLAGE OF RYE PR60K DEC 13 2023 938 KING STREET RYE BRooK,NY 10573 (914)939-0668 11 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electri/cians License Required FOR OFFICE USE ONI� / 00/ EP#: / J Approval Date: JAN 0 4LOL4 Permit Fee: $ Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERNUT HAS BEEN ISSUED BY THE BUILDING INSPECTOR THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated,/c,)43—43 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: j- ICE G Z Pu N SBL: 1 3 S . GS / 1 &[/ Zone:, 2.Property Owner: DA �a Address: Phone SU Cell#: email: 3.Master Electrician/Licensed Installer: j m:ZA Address: Lic.#:—E��Phone#:gjq-6"p,-11, Zr Cell#:Cr/q W 0-36W mail:. A4 Company Name: LAN Z.,& ,j i G: Address: &'3 7_ l2 1 &0 rtW'y 4.Proposed Electrical Work/Fixture Count: Z jgj:�Alt ZE 9 6,172 7t j �L I.LJ &—Aj'_]z k. 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 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 for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned fitrther 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 Swom to before s day of 120 day o 20 Signature of Property Owner Si re o Print Name of Property Owner Prin�ofnt Notary Public N c,S to of New York No.Ot R16MI398 10/30/2023 Qualified in Westchester County Commission Expires September 26, STATE WIDE INSPECTION SERVICES, INC. 0•• • • L SWIS JOB APPLICATION •. • Office Use Elect. Permit# "o Qy_ QV Date 14 /-3 _ Bldg Permit# L� OQ 1 S4 Ft Plumbing Permit# Final Certificate# City/Village \ _ R Zip Fu, lding Dept. County Address Cross Street Section_ Block Lot L 0L ��, I ; Owner Name/Address(If different than above) �1 ^f -z k t' Contact Number ❑Basement ❑ 1st FI. ❑2nd FI. ❑3rd Fl. ❑More Than 3 FI. arage ❑Attic ❑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 4-L- "E z Az t:- z_ Zo v �►�nF u-� o M r� 11Z 1N, DC� � � i DEC 13 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 ii"4\ L �,( - r, Lv Name '144 L04114 /) License# Date J it Address �3 v ilT t_((7 City/State f� w� UN£c I L Zip Code / 5-zl Company L A n, r-1 1—� G7v 1 C Phone# c1/y G S e-- 16 Z l I State Wide Inspection Services JAN 1 7 2Q24 �` 1080 Main Street Fishkill, NY 12524 — 845 202-7224 Phone VILLAGE �OF RYE l�Sr'ROO{< 914-219-1062 Fax STATE WIDE INSVEC710N SERVICES �� `^"�I I! �` r\fn"�1 �t'!7-N I � Email: office(d)swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Lanza Electrical Contracting Dan Zhu 332 Northrup Avenue 5 Deer Run Mamaroneck, NY 10543 Rye Brook, NY 10573 Located at: 5 Deer Run, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-001 135.65 1 41 Certificate Number: 2024-0265 Building Permit Number: MP 24-001 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: 5 Deer Run, Rye Brook, NY 10573 The Exterior 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 17`h day of January 2024. Name Quantity Rating Circuit Type Generator 01 20KW ATS 01 200A M P Visual Inspection of existing conditions was performed on January 17, 2024, of the Exterior and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. � - 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. N a � � 04 en Ln 4 H ��pp z a w � x �p O ► y O O _ Lfi 10. w o Z 00 � O a z A W x oz� o z U ONO v/ a V► 00 z A �° 2 � �` w x W V-4 Mai ✓"` ►� N ►-4 q M 118, I�1 °O Fa. a r C� d a w O G4 v o Z a Rom+ a Ln LC) o .. A O p W V W as �I a a w = � � ! 2: BUIL NG MP MENT ! NOV 2 2023 DI Vu. E OF RYE K 938 KIN ET RYE B NY 10573 VILLAGE OF RYE BROC. (914)9 939-5801 BUILDING DEPARTI` P' org PLUMBING PERMIT APPLICATION FOR OFFICE 1YE ONLY $ j /y)"'o� ��C�� PP#: �3 I Approval Date:_ �� w Permit Fee: $ Approval Signature: Other: Disapproved: (fees are nun-refundable) Application dated, 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 k will be in conformance with all applicable Federal,State,County and //Local Codes. 1.Address: 17 SBL: /3-6'/ Zone:/�—s/e�• 2.Proposed Work: 3.Property Owner: a u Address:�5—6ee/ �o N Phone#: So Cell#._ email: 4.Master Plumber: Address: q / Lic.#: �Ph o a#: - ell#: G/4- 66-� 6 email: (/�/� Company Name: L. Address: INDICATE F URES&LINUTO 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'd Floor 4'I'Floor 5`s Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -I- 3/21/19 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, sprint name individual si it ,as the applic:mu .utd furthers state tl�e is the legal owner of the property to which this application pertains,or that(s)he is the I(_�f Yl for the legal owner and is duly authorized to make and file this application. (indicate architect.contractor.agent,attorney.Me.) 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. S to before me this Sworn to before me this 2,C) day o 0 da of- .20 Signs a of r Owner Sign ure of p t Print ame of to y O ner Print Nam of A licant A� tary Pu i KKAF otary P kEGORY M.RIV ry Public- e of New York ERA No.01 6244 Notary Public,State of New York Qualified in West or County No.GIR16UI398 My Commission Expires 08102/2026 Qualified In Westchester County Commission Expires Sept-ember 26,20 This application must be properly complcl,,,i in its c(,,ircty and must include Ih, . .,,rizrd si_;r,lturc(s of the legal owner(s) of the subject property, and the applicant ol'record in the spaces provided. Applications not properly completed in its entirely and/or not properly signed shall be deemed null and void and will be returned to the applicant. 321/19 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ({�� t4' "n t, ,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 day of 20 23 day of ,20 a at e of Property Owner Signature of Applicant Qa,,— ZkV\ Print Name of Property Owner Print Name of Applicant Notary Public Notary Public CHRI HER I BRADBURY Notary Public,State of New York No.01 BR6159985 Qualified in st West heer C u This applicatWkrnmWdwEpI*yg�, �ts 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- 10/30/2023 BUILET MENT iD t VILYE OOK DEC 2 0 2023 938 KING BR ,NY 10573-0 ` VILLAGE OF RYE BROOK , v . v brook.or2 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 yyrt�N11EAAW YORK, COUNTY OF WESTCHESTER ) as: V y-� 31, � V , residing at, t �� , 1 v ►! (Print name) (Address where you 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 Compliancepertains at; �kc('K, op , �3 , Rye Brook, NY. (Job Address) 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. (Signature of Property Owner(s)) Q0.h 7z�h (Print Name of Property Owner(s)) Sworn to before me this "7-0 day of Q , 20 Z (Notary Public) CHRISTOPHER J. BRADBURY Not4ry Pubic,State of New York -3- N�. 8/12/2021 --------+ .Building Petrnit Check List&Zoning Analysis i Address: Op_e 1 ?)K A1 SBL• '>rJ_ — 1 Zone: Use: Const.Type: Other. Submittal Date: 'L I kin Revisions Submittal D Applicant: 2 Nature of Work Reviews:ZBA: J AN 0 4 2024 pg. BOT• Other. 1�1 OK ( (►' 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: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short Fees: N/A: ( ) �PLAN PLAN.TVEY:Date( ) S:Date Stamped: Sealed: Copies: Flectroni� Other. ( ) ( ) License Workers Comp: Liability Comp.Waiver Other. ( ) ( ) CODE 753#: Dated: N/A: (4, ( HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. (� ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. PLUMBING Plans: Permit: 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. L/Final Survey. Final Topo: RA/PE Sign 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: REQUIRED EXLSTING PROPOSED NOTES 2U1� A Date: J AH 0 Circle: FronW Front: Front; s dj�: R&Lr. Main Coy Accs,Cov Ft H/Sb: Sd.H/Sb Wig: EL IMP: P Hight/Stories: notes: Laura Petersen From: Steven Fews Sent: Wednesday, November 22, 2023 1:20 PM To: jfs@jsuppaplumbing.com Cc: Laura Petersen;jostingray@aol.com;Tara Orlando Subject: 5 Deer Run Generator Expires: Thursday, March 21, 2024 12:00 AM Good Afternoon Joe, we have received your application for the gas-line work for the generator. Be advised that we also need the generator permit application filled out&submitted to go with the plumbing permit application.Advise the homeowner he can have his electrician file for the generator wiring as well. Thank You. Steven E. Fews Building Inspector& Fire Inspector Office (914)939-0668 1 Page 1 of I Jim Lanza From: "Con Edison Project Center" <ESWebProjectCenter.noreply@coned.com> To: <lightman1@optonline.net> Sent: Monday, February 18, 2013 3:43 PM Subject: ELECTRIC EMIR-CASE NO: 1381015, SERVICE ADDRESS: 5 DEER RUN, Westchester Date:Feb 18, 2013 Service At:5 DEER RUN RYE BROOK, NY 10573 Case No: 1381015 JOSEPH PACELLE 5 DEER RUN RYE BROOK, NY 10573 Dear Customer: We have received your request for the above referenced location and look forward to working with you and/or your contractor. Please use the case number shown above when making inquiries about this service. We will review your request in detail so that we can identify what work, if any, is required of Con Edison and to identify the work that may be required of you and/or your contractor. You will hear from us within 30 days, usually less, and at that time,we will assign a company Service Representative for this job. Please note if this is a request for electric service and transformers are required to accommodate your service needs, space within your property may be necessary to accommodate the installation. Please notify Con Edison immediately if there are any known or possible environmental or other conditions on or adjacent to the property, such as: . wetlands, water bodies and/or protected wildlife or habitats (Con Ed requires a copy of any existing permits) . soil or groundwater contamination (underground storage tank, Superfund site, RCRA site, brown field site) . property on state road These conditions could impact your service date if not identified early in the project planning process. You can track the progress of your request by logging at the Energy Services Project Center. You will also find helpful information about safety issues and Frequently Asked Questions (FAQ) about our Service Installation process and timelines. We also encourage you to take a look at the various programs like PowerYourWay, Conservation and Demand Reduction Programs that can help you manage and reduce your energy bills. Please ensure that you read the Urgent Notification of Worker Safety Working Near Overhead Lines located at: http://www.coned.com/es/UrgentNotification.pdf Sincerely, Orlando Alves Westchester Energy Services (914) 789-0705 cc:JAMES LANZA Lanzas Electrical Contracting 332 NORTHRUP AVE MAMARONECK, NY 10543 Please note:This e-mail was auto-generated from a notification-only email address that cannot accept or reply to incoming e-mail,including Energy Services inquiries. Please do not reply to this message. 2/18/2013 CUSTOMER REQUEST FOR PERMISSION TO USE EMERGENCY ELECTRIC GENERATING FACILITIES TO: CONSOLIDAT=D EDISON COMPANY OF NEW YORK, InC. " The undersigned {OWNERIOCCUPANT) of the property or premises at: M 2 customer for electricity service Under Service Classification NO , requeSIS permlSSlOr1 To use emer enc`, generation facilities, g We underr:.and and hereby agree that, in accordance with General Rule III - 13(e) of Can Edision' , ..,1 Schedule -�r Electricity Service (PSC No. 8 s ( Compe;., ) ), the emergency generating equipment will be used only during a;. interruption of the Company's service, or a Companv announced voltage reduction, and for necessary testin and as mE otherwise be expressly permitted in the Company's Schedule for Electricity Service. lt.is furttter9 understood that if the generators are operated other than as permitted, electric service will.be provided- under the .erms and conditions of Service Classification No. 19. Back-up-Service, or No. 20, Supplemeniar� Service. Attached are two Copies of the wiring diag:am showing the connection of the generator to the b and the switching arrangements to wldln�wirinc �pieveC►t parallel operation or feedback to the Company's system. (Signatufe tie o1 AuthOrizgd Representative or Agent) (Date) Mailing Address FOR COMR,41 T LNUF ONLY. Field lnspecw4.p:n; I I j Status: (oats): andtcats: . Appraved/Kot•ApRravedk:: .. R Rgriaturs and 1`ttis oi!Company F►apr��: i • Cr7ST01'Vl�R OY7�lVED EiYlERQE.NCI'G'E R.3TOR LOCx4TIQN: / - '-Y----- .._�lYfUyi� Uizcr��L CUSTOM M NA-MR: A,CCOI.in NruymE, _ CATEGORY: CUSTOMER CONTACT:---, NAME: ✓os �rt ,��� xTi E: zz PHO Y �cRLL# ezo AX ER HOURS CONTACT: N.AMi: f4 -• SAS T+' GENERATOR KANUFACTUPYR: MODEL: .-8 8 r SERIAL KGY: PR.4SE: ` -- — E: VOLTS: /ZZ 2--FUEZ.: �FUEL CAPACITY: ,OTkTER STORAGE: HC1fJIt.S UI'CONTTLYGT OpER-ATXON BASE ON MT FUEL.STORA-GE:��� TR.A TSy'k'R SWITCH:�KANUAL.:—AIUTOMAFrIC: l/ ypZ,TS: l ZD U8 A1N1 S:_ Z OG lYLkNUFA.CTURER: lY1OI,}EL: /-1- SERItiL#; `� L( /• Z Z'OiYIll�ERCL�L.SER DICE RE'�'�.gE15�T�1`IY.�_ Westchester Rockland Electrical Inspection Services, Inc. - Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue L Fax: 914-347-3596 e Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE Cfjy.4R VILLAGE- -� ZIP CODE TOWNSHIP COUNTY t '✓ T -- 1 L��� l.l%c�� STREET O.OR ROAD -- POLE NUMBER 7 BETWE WHAT TW CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT 7 ) �- - OCCUPANT'S NAME--1J BUILDING OCCUPANCY 1� OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER �I ( - CURRIE SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1"FL 2'FL. 3' FL REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: t THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT THE APPUCANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EOUIPMENT MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS �L CHARACTER OF WORK NEW ADDITIONAL L EXPOSED CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD F] UNDERGROUND[] AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE NED.C� SIGNATU - OF APPLI NAME OF COMPANY DATE OF APPLICATION , STREET ADDRESS TELEPHONE NO. 'Z 1 CITY 1 ST OFFICE,,, �C:`� ZIP CODE LICENSE NO.WHEN APPLICABLE � _ �'— 1 4tlA" o CORPORATION CELECTRICAL ONTRACTING 322 NORTHRUP AVENUE (914)698-1621 MAMARONECK, N.Y. 10543 FAX(914)381-3540 (9141 698-8579 02/18/13 Joseph Pacelle 5 Deer Run Rye Rrook, NY 10573 UTILITY PZA : AT8 GEIT 1 J rmiz`t - II'AIN DISION MEL