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PP24-017
m m a : s o O N W N N 0 u k w v � ON cn a O u o a d -e U �' ►-, z w W w o S414 uco ' U �+° V x w � z © oo � © U zLn fn m ~ N a O x z G U > A V 00 � c� cn a ► m x w z A x cn z a 1�-I U p4 U w p W H O �0- Z W o Z 0 Ln ° H Q V I x ella w x � BUIL :7E VIL E O OK FEB - 1 2024 938 KIN ET NY 10573 �' VILLAGE OF RYE BR0JOK or ^ BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION ` FOR OFFICE USE ONLY BP#; PP#; d / Approval Date: EF 0 2 41 Permit Fee: $ Approval Signature: Disapproved: (fees are non-refundable) ************************************************************************************************** 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, 01131/2024 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 1.Address: 34 Bonwit Road SBL: �3'Sj ���— 7 i f Zone: k-14 2.Proposed Work: Race sanitary waste line. 3.Property Owner: Gustavo Palacios Address: 34 Bonwit Road Phone#: Cell#: 1-204-439-3167 email: gustavo.palacios@gmail.com 4.Master Plumber: Sal Morlino Address: 1 Bonwit Road Lic. #:725 Phone#: Cell#: 914-260-1592 email: salvatoreserious@gmail.com Company Name: Westchester Plumbing And Heating Address: 1 Bonwit Road Rye Brook,NY 10573 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 1 1 1 4 1st Floor 2nd Floor 31 Floor 41 Floor 51'Floor Exterior 5.* List Other Equipment/Provide Details: Homeowner was getting backup of waste and after exploratory work it was determined thatthe waste line under slab had a back pitch. (Notarized Signatures Required Next 2 Pages) -I- 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Salvatore Morlino ,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 31 Sworn to before me this 31 day ofJanua ,2024 day of January ,20 24 x Signatu e f roperty Owner Sig6filre of Applicant Gustavo Palacios Salvatore Morlino Print Name of Property Owner Print Name of Applicant Notary Public , s;`0n u+�t ► ° Notary Public uli l t i.ur i s`�,�iORI Yvtic ormogaml A'a , /(tuna O `.�#lii , c'u+?;tG,' o a%*%1 ,ltoh n�eN I This application must be properly completed in its entirety and must include tki '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- 10130/2023 BUILD MENT 1� VIL E OF RY OOK FEB 1 2024 938 KING ET RYE BR ,NY 10573 4 -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: 3,Gustayo Palacios , residing at, 34 Bonwit Road Rye Brook, NY 10573 (Print name) (:Address N%here Nou likr) 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; 34 Bonwit Road , Rye Brook,NY. (.lob 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 Code . t x (Signature oi-Property 0�J) Gustavo Palacios (Print Narne of Property Owner(s)) Sworn to before me this 31 day of January , 2024 F�qpq �.tPdE�T Yt4k • . :?va tic,tiuiiir 0 010 (Notary Public) ;sr,i;[�M1fCi -3- 8J4212021 �yE BRC�k w � 1932 BUILDING DEPARTMENT ❑��BUILDING INSPECTOR {4ASSISTANT 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 : -2; L4 P)�h,3 �k;' 1 t- K DATE: 2 - d �ac� PERMIT# ` q o ISSUED: -Z'Z SECT: BLOCK:_LOT: _ LOCATION: � I�11� 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 (i A /,,j e ❑ L.P. GAS ❑ FUEL TANK 4o ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BRC��. 1982 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 : � 'J `_� DATE: 2 - 14, - 2 O ZY PERMIT# -P ? Z 7 -O /7 ISSUED: 2-2 - Z/SECT: J BLOCK: / LOT: Y/l LOCATION: u fojo'- "e-✓ 7 • OCCUPANCY: ` /J ❑ Miolation Noted THE WORK IS... [T PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: _( ''ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / 0 Natural Gas ��it64,11 U u ✓ ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER