HomeMy WebLinkAboutPP24-010 BRn�
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
www.ryebrooLmy.gov
TRUSTEES BUILDING &FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
June 17,2024
Douglas Conrad&Judith Fried Conrad
42 Talcott Road
Rye Brook,New York 10573
Re: 42 Talcott Road, Rve Brook, New York 10573
Parcel ID#: 135.50-1-10
This document certifies that the work done under Plumbing Permit #24-010 issued on 1/25/2024 for the
installation of a new electric water heater has been satisfactorily completed.
Sincerely,
Freddy DiVitto
Assistant Building&Fire Inspector
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'9a2 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 : TA L L DATE:
PERMIT# �?? Z LI ` 0 1 y ISSUED: / Z S'1 SECT: U BLOCK: LOT:_
LOCATION: 7-')Ac'{> OCCUPANCY:
❑ VIOLATION NOTED THE WORK IS... Q '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
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BUIL ' G DEPARTMENT )AN ���
VIL s,, E OF RYE BR'DOK
t�
938 KIN S7 EET RYE BROOK,NY 10573
\491 l) 939-0668
wt�ybebroo k.org
PLUMBING PERMIT APPLICATION
FOR OFFICE USE ONLY BP#: PP#: CJ'� 10
Approval Date: 1.• �' \ Permit Fee: S / �5—/
Approval Signature: Disapproved:
(fees are non-refundable)
**************************************************************************************************
DO NOT S't':1 O'NVORK or C0NSTRt1CTl0ti UNTIL A FEIRMIT HAS BEEN ISSUED BY THE BUILDING
INSPECTOR.1-111'.ADMINISTRATIVE FEE FOR M ORK PROGRESSED OR COMPLETED WITHOUT A
PERMIT IS 12 (* Tliv 'rOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00
Application dated, _')q 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 b in conformance with all applicable Federal,State,County and Local Codes.
1.Address: Z SBL: / J Jai ' -0—'�—/�C� Zone:
2.Proposed Work:
3.Property Owner: `� r� Address: 12 t
Phone#: ?/#— 17- 73o/ Cell#: email: ,cam
4.Master Plumber: ���1 �'Rl Address: G,IjV
Lic.#:— Phone#: 1 L 1#: } email:
Company Name; /o, Address; �d � � G
L
INDICATE FIXTUR S& 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
4'h Floor
5`h Floor
Exterior
5.* List Other Equipment/Provide Details:
(Notarized Signatures Required Next 2 Pages)
3/3/2023
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 2Z Sworn to before me this Z
day of ?eCe-. 'bv- ,20 2.-S ___ day of 20
!fly
Signature of Property Owner Signature ofA-p licant
Print Name of Property Owner Print Name of Applicant
atl� O"L
Notary Public VOLKERT E.BRAREN otary Pu is
NOTARY PUBLIC,State of New York
No 01BR-4759109
Qualified in Westchester County
Cofnmission Expires?
This application gust 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. �**i
SAM,Q ***,�.
Q No,01 SA543219114
QUALIFIED IN
WE"EETaft COUNTY:
comm.EXP.
04.25.3020
A Et
-2-
10/30/2023
BuILD.ING DEPARTMENT
VILLAGE OF RYE BROOK JAN 2 2 2024
938 KING�tREET RYE BR6A,NY 10573
(914) 939-0668
wwi8,.rve1 rook.org,
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:
3J, D OU G-W COHRM , residing at, y 1 'fA L C_v r-r +� Ric f N7
(Print name) (Address where you h e1
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;
RP ,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.
V.
d��
(Signatu re of Property Okvner(s))
Do 2G1.AS CZNPAb
(Print Name of Property Ow•ner(s))
Sworn to before me this
day of �rzL��- ��.• , 20 Z3
r P4l Z�
(Notary Public)
VOLKERT E.BRAREN
NOTARY PUBLIC,Stale of New York
No. 01 BR-4759109
Qualified in Westchest r County
Commission Expires 2 T/ � 3"
8/12/2021
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�rBUILNG MENT D E C E � V
DE
VIL E OF RYE OK JAN 2 6 2024
938 KTNd ET RYE B ,NY 10573
VILLAGE OF RYE BROOK
or BUILDING DEPARTMENT
ELECTRICAL PERMIT APPLICATION._. ______
Westchester County Master Electricians License Required
FOR OFFICE USE ONLY .-IW-P_ / /' O/ 0 EP th
Approval Date: 3 4 Permit Fee: S
Approval Signature: Other:
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 IS 12%OF THE
TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00
Application dated, — 'a is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of
a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per
the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work
performed will be in conformance with all applicable Federal,State,County and Local Codes. \
1.Address: y-7 T� 1 C o-r-t- Q l� SBL:1 I35i-60 I 0 _Zone:,C ,�1
2.Property Owner: �� o u a��s 1'-o t'n Q b'L _Address: S N I-' e_
Phone#: Cell#:,q/y-y/;7- ;30/ email:
3.Master Electrician/Licensed Installer: t r Adddressss:'Co �� ` t�cAV$ptq(�
Lic.#a2p2'Phone42- N ��f'���O Cell#�It/ aO3 -k1O email. `_ K1 rjL2,QA0 ACA. r"K
Company Namep.�!- 2 C( s�+�\c- Address:
4.Proposed Electrical Work/Fixture Count:
- —27n A K� W'T Li-) -T'►L%_�,k
�- aan y, /3oAT .�(2kA 46.)Z
5.31 Party Electrical Inspection Agency:
er*r....:,e***..*******««*.*,r«•ws,r*r�,�*****r.....*,r..,r.******x*xxx�**xx�*xx**xxxx*xxxxx*xxxx,,x,rxxx�*xx,rxx
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
being duly swom,deposes and states that he/she is the applicant above named,and does further
(prin�-(s-
rvidual signing as the applicant)
states the for the legal owner and is duly authorized to make and file this application.
(Master Electrician/Licensed Installer)
The undersigned further states that all statements contained herein are true to the best of his/her knowledge and beliefs 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 t!pj9re me this ) b
day of 20 20
Signature of Property Owner i ature o pplicant
/ �9
Print Name of Property Owner Name of Appli ,
Notary Public SHARI Ndb*) B iblic
Notary Public,State of New York 10/30/2023
No.01ME6160063
Qualified In Westchester County.
Commission Expires January 29,20,
STATE WIDE INSPECTION SERVICES, INC.
0•0 • •
SWIS JOB APPLICATION0. •
Office Use Elect. Permit# o J Date
Bldg Permit#-//C]y— o o Scl Ft
Plumbing Permit#
Final Certificate#
City/Village Zip Building Dept. County
Address � n <O T T Cross Street Section / Block--I Lot a J
Owner Name/Address htff different than abo/vet I �S it Contact Numb&y/ //7_/77Y0 / f
o v 1 1 �/
CS
Basement ❑ 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. ❑Garage ❑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
Z /
RJAN 2 6 2024
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
This application is valid for one(1)year from the dafgTecc 4 b S TFis ap ication 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.The applicant declares that thereie no openapplIcaViions for the above address with any other inspection company.The applicant,
owner or authoriz agent agrees to all the above terms and conditions as set forth forthe application. '
Email Address ,�j/ Name �w - "� 7�
License#- 3 Date l— -Z� Signature ! E �r
Address City/state, CA,-f�IC �(/ Zip Code/�/U,s�2
Company ` G Phone# 1 S — ��
State Wide Inspection Services
R
3
CAD FEB - 9 2024 1080 Main Street
Fishkill, NY 12524
11WVILLAGE OF RYE BROOK 845 202-7224 Phone
NS BUILDING DEPARTMENT 914-219-1062 Fax
STATE WIDE INSPECTION SERVICES Email: office(a)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:
Danmar Electric Douglas &Judith Conrad
PO Box 122H 42 Talcott Road
Scarsdale, NY 10583 Rye Brook, NY 10573
Located at: 42 Talcott Road, Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP 24-017
135.50 1 10
Certificate Number: 2024-0824 Building Permit Number: PP 24-010
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: 42 Talcott Road, Rye Brook, NY 10573
The Basement 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 9"day of February 2024.
Name Quantity Rating Circuit Type
Hot Water Tank 01 30AMP
Breaker 01 30AMP 220V
A r E
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.