HomeMy WebLinkAboutPP24-003 r
r
= M L
O �'
Cq
N °O �
• ,� -4 w
:
Q-+ a o
F
00 � w W
IC 1
OS
010
O o A c c
LE
C111%,
co
W Oo
oW 8' z° u�ji
0 cf) +
A zccn, c°� :V4 o a
w u � Q V
a 1-0
�i
pQ O CY
p cr z
w ' O �)
0-4
a O V [I F
94
A d v
g o0
V* w O
O F+
0-4
�--r cr w :� d Z z Cn
0 a
zcn
ECE V E
BUILRING DEPARTMENT R - B
VILLAGE OF RYE BROOK JAIL - 5 2024
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#: PP#: GI Q
Approval Date: 1\-� Permit Fee: S
CL—
Approval Signature: Disapproved:
(fees are non-refundable)
#�*k*******kKkkkkkkk***kkakR�3kkk#kk*kkkkRk:iekk*kk*k*kk*k**kkkk*akk*kkkkkkk***k:kkk*#kk#*k*akk:k#kskkk:k*kk
DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING
INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A
PERMIT 1 12 6 OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00
Application dated, Z is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of
a Permit to install and/ r remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this
document agree that s/arid plumbing work will be in conformance with all applicable Federal,State,sC�ountty and Local Codes.
I.Address: (1� ! �z ors 'e - SBL:l��!-3' % Q Zone: �J�
2.Proposed Wor , nJ c
3.Property Owner: 6' Address:
Phone#: q/ Cell#: email: 15exj ) l
4.Master Plumber: 16 AW2d / Address:
Lic.#: Phone#: Cell#: 3-7email: I-,((ell 51eZ lJ oc o'. r
Company Name: ell- �//1L 1/�(%' �G Ctr C ddress: s2 W IVW�Ilw R� C LL
INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: l c9l—1
Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Totai
Closets Fountains Tubs Tubs Service Service Sewer LP Gas
Basement
l st Floor
2nd Floor
31d Floor
41 Floor
5'b Floor
Exterior
5.* List Other Equipment/Provide Details:
(Notarized Signatures Required Next 2 Pages)
3/3/2023
STi�OF NEW YORT 4 WUNTY OF WESTCHESTER ) as:
being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signin as the applicant)
and further states that(s)hc 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 tr.� ,20 L day of /Cjt� ,20
Signature of Property Owri Signature plican
Print Name of Prope er Print Name of Applicant
Notary Pu 'c
RICHARD SKJEAU
NOTARY PUBLIC STATE OF NEW YORK
PUTNAM COUNTY
LIC.#01 S 6121
COM �� 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.
JANETTE SANCHEZ
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.OISA638787
Qualified in Westchester Cott t
My Commission Expires.
-2-
10 1W2o1�
BUILDING D !'MENT
VILLAGE OF RYE' OOK
938 KING� ET RYE BROOK,NY 10573
(914)939-0668
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:
i
31, C, , residing at, o '�Y�1 !� S,
(Print name) Of (Address%N IwIQ ticiu Ii%2•
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;
G� 1W r�t�' r,•�os c► �� .S !✓ ,Rye Brook, NY.
(Job AddretisV
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.
(Sidnature of Property Owner(s))
(Print Name of Property Owner(s))
Sworn to before me this
day of 4.o7 k , 20 `Z- `'
G
Puhlie�
RICHARD SKJERtI
NOTARY PUBLIC STATE OF NEW YORK
PUTNO COUNTY
L1C.M1214 -;-
8/12/2021
TECHNICAL DATA SHEET
MaxPox°
Pipe Rehabilitation Resin Systems
MaxPox®Resin
MaxPox® 15 Hardener MaxPox®60 Hardener
MaxPox®30 Hardener MaxPox® 180 Hardener a�
MaxPox® Resin Systems are two-part, 100%solids epoxies that offer superior
mechanical properties,chemical resistance and excellent adhesion to pipe materials-
even under very humid and wet conditions.As a part of the MaxLinerO lining systems, MaxPox®Resin Part A
our resins are specially designed and formulated with excellent wet-out capability for
quick and consistent sewer service repairs. MaxPox resins have ultra- low odor,zero
VOCs and are Styrene-free.
TECHNICAL DATA:
MaxPox Resin Systems are a 4-to-1 ratio epoxy system designed to meet all
specifications for fully structural CIPP(Cured-In-Place Pipe)liner conforming to ASTM
F1216. Using MaxPox Base Resin in conjunction with MaxPox Hardener will achieve a
cross-linked system to for a high quality,long-term solution. Mixed resin pot life varies
with temperature and total mass of material mixed.The data provided below is for
reference only. For more detailed product information, contact MaxLiner prior to use. MaxPox®Hardener Part B
REACTION
Mixing Ratio A:B 4:1 by weight
Components 70OF prior to mixing
Cure Ambient,hot water,hot air or steam cure-see detailed instructions
MaxPoxMATERIAL DATA
MaxPox Resin '• I MaxPox .0 MaxPox 180
HardenerHardener •
Weight Ibs/gal 9.49 8.90 8.43 8.44 8.21
Color Yellow Blue Blue Blue Blue
Viscosity At 770F 1,500 cps 950 cps 25 cps 720 cps 450 cps
(25°C)
Gel Time 100 gm @ 15 min 25-30 min 60-65 min 180 min
730F(230C)
At 140OF j
Cure Time (60°C) 20 mins 50 mins 1 hour 120 min
maxlinerusaxom V 05.23
TECHNICAL DATA SHEET
PROPERTIESMECHANICAL
System • •• by Resin Hardener
Flexural Strength,psi ASTM D790 9,600
Flexural Modulus,psi ASTM D790 425,000
Tensile Strength,psi ASTM D638 8,000
ROTO- ROTO-ROOTER SERVICES COMPANY
ROOTER* 525 howne 9 Avenue,Mamaroneck, -1 92
Phone 914-777-179i Fax 914-777-11543
92
PLUMBERS
01/19/2024
Village of Rye Brook
938 King Street
Rye Brook,NY 10573
Building Dept.
Job address:671/2 Windingwood Rd S
Dear Sirs,
Concerning Reline of sewer at above address,the cipp liner with the epoxy resin has been installed properly
according to the specifications of the manufacturer by certified installers. Any questions please contact me.
Sincerely,
Richar kjerli
Mas er Plumber
TECHNICAL DATA SHEET
MAXLINER
Max Caffube" — Stitched
Max CalTube - Stitched is a flexible PE fabric that is PVC coated with a triple linear stitch and
overlapped taped seam. For use in Open-End liner(Blindshot) and Pull-in-Place applications to
keep the liner tightly pressed against the host pipe during the curing process.
TECHNICAL DATA:
Coating: PVC
Carrying Material: PE
Seam:Triple linear stitch and overlapped taped seam
Color: Clear or orange
Installation: Inversion or Pull-in-Place
Recommended Curing Temperature: Heat curing up to 176°F
(80°C)
Resin Compatibility: Use with MaxPox0,VertiPox@ Epoxy, Resin
Systems,MaxLight® UV LED Resin Systems(clear only),MaxPoxa
VE or approved equal ^'
Usage: Single use only. Multiple use is at installers risk. �r
e .Y-' r��• .i
DIAMETER RANGE:
4" - 12"stock diameter
Custom larger diameters available.
k
AVAILABLE MANUFACTURER LENGTHS:
164'and 328' stock lengths(+/-)Custom longer lengths available.
i
APPLICATIONS: ti
• Two stage open-ended (Blindshot)inverted liner and Pull-
In-Place
• Hot water, hot air, LED light,steam and ambient cure
• Clear tube for LED light cure and single stage inversion
with liner
• Guide Tube
maxlinerusaxom v05.23
TECHNICAL DATA SHEET
LAXLINER
INSTALLATION:
Installation Air Pressure: 5 to 7psi (may need additional pressure to invert around bends)
Pipe Diameter(inches)
Maximum Recommended Pressure(psi) 17 14 12 8 7 6
STORAGE/HANDLING:
Avoid extremes of temperature
• Freezing may cause the coating structure to degrade locally,especially areas where the coating is in tension
or compression -at bends and edges,and immediately adjacent to seam welds.
• Recommended storage temperature 40T- 95°F.
• Shelf life at this temperature: in excess of 1 year.
Avoid extremes of humidity
• Very high relative humidity(especially at high temperature such as tropical countries)will accelerate the
degradation,consequently reducing the shelf life.
• Recommended storage humidity 25%rh - 65% rh.
• Shelf life at 65%, 95°F: in excess of 1 year.
Avoid prolonged wet storage
As with high humidity,the coating is more susceptible to degradation at higher temperatures,and even
further susceptible if pH of liquid in contact is significantly above or below 45T.Wet storage is not
recommended.
Avoid direct sunlight
Prolonged exposure to the sun's ultraviolet light will accelerate the degradation of the coating.Store away
from direct sunlight, preferably in dark conditions.
Mechanical damage should be avoided
• Ensure personnel are instructed not to walk on or smoke around the liner.
• Handle with care and ensure safe transport at all times.
• Ensure that CalTube is not in contact with any sharp edges or snags anywhere during use.
Chemical attack
Avoid prolonged contact with solvents and chemicals.
Call technical support with additional questions at 877.426.5948
Disclaimer:The information contained herein is offered without charge for use by technically qualified personnel at their discretion and risk.All
statements,technical information and recommendations contained herein are based on test and data which we believe to be reliable,but the
accuracy or completeness thereof is not guaranteed,and no warranty of any kind is made with respect thereto.Exact coating type and thickness
depend on the specific types of resin being used.Always read,understand,and comply with hazard warnings described in the products'Safety
Data Sheet(s)before use.
maxlinerusaxom V05.23
QyE Mcb,�
l7
>> �O
1982 BUILDING DEPARTMENT
❑/BUILDING INSPECTOR
rJ 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 : /L I/U 1 �,�j J 0� C,c � . DATE: L - `I Z D, 7l
PERMIT# �` Z ISSUED: 1 J" Z J SECT: BLOCK: LOT: �cJ
LOCATION: t� ( 1 S 4e k ( (ASP AOJ 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 /6D ell.
❑ L.P.Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
❑ OTHER