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HomeMy WebLinkAboutPP24-022 N O N a N N04 w e N N v w ' W � w � c Z a w1W ao o M . y � p Q JS 00 z Q �-1 en O W W o cWl� _ ON V W o kn � z W 00 ..E v ;L4 Z0 cr 00 cn ce � W " o � 4 cn w W o 43 w W O ] ' z o 00 u � W ° ° W Ln o Z o cn �D Sri O V w � Mz A ACLI En W z oA �� RRn MD E C E 0 �:'J BUIL DE MENT VIL E OF RYE OK FEB 1 4 2024 ID 938 KIN , ET RYE B ,NY 10573 L VILLAGE OF RYE BROOK or BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION f FOR OFFICE USE ONLY 13P #: PP#: 1 � Approval Date: 1. - I U — Z og L y Permit Fee: $ ` Approval Signature: C' ,�, .�� Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UN"I'I I I'EWNII HAS BEE\ ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR \1 ORK PROGRESSED Old COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF S750.00 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 work will be in conformance with all applicable Federal,,State,County and Local Codes. 1.Address: �.3 P t Aa t t 7&L ,4vr "6 6✓o p SBL: Zone:,�� 2.Proposed Work: !`� Ln /'�^<� 54���'ha -re- DA,r 34 � 3.Property Owner: a C_C-o C of p{fb�' Address: $L Ae*W d A-0, 6,ra e o wIG G 06 Ell Phone#: 91 g 37-O85r'U Cell#: 6 YS- 046'r cmail: (( /rP�fi✓�CAL�'f}5 �Q� 4.Master Plumber. ;Qt? C,,'tiY Address:$? 71 Le-Fla" Al" At-1 iv7 Lic.#: a7 0 3 Phone#: -71,49 't4{- 600 Cell#: 9/7 68/-0 S 3-3 email: 6,0-C-+4 P N r f1w+-✓3�+-G•fir. Company Name: &W Y 4- P4,A,i.r, r. *i5l 11 f'o� Address: 11-71 10lt1.� �!"� /1 W ! e� 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 Yd Floor 4'h Floor 5's Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 3/3/2023 STATE OF NEW�}YORK,COUNTY OF WESTCI ESTER ) as: �EG,a( �y4fi)4+— 411— ,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 H 14 Sworn to before me this /1-1/ day of ,20 day of f eA A-!!!) ,20 d Y Signature of Property O er S ggnat=of Applicant a 4e-a (�p 624-6 J, r (LOVA�1AI--"p— Pruq Name of Property OvIner Print Name of Applicant / N tary Public Notary Pub]' L N110 NI ULLINS x Notary Public, State.of New York L M ULLINS Flo 01ML16114168 Notary public, State of New York Qualified ill Queens County fro.01 MU6114168 ► �i u ust 09 2 Qualitied in(queens County This appl' r entirety and must incl cct�9rttiji,i$ r (s�gq¢0 '`� 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 BUILDQRVE MENT D (; VILOOK 938 KING ,NY 10573 FEB 94 20244 Ly VILLAGE OF RYE BROOK BUILDING DEPARTMENT :k#:t**tt**esri*:k*:'r*:k•k:k}yk�•,k*ie**:kick;k irxi::M sN�:ie**;�•*;t*•k*9t�t**;4******irt**tick**i:**:F******•k:Fi:ie***k*k*ir•k***•k 9:k****9:** 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. :0, 2oeco ' —A JtO ,residing at, 6,1 4 C 0 F_0 tiA !LA, &e&?ww�# cT 06,0JI (Print namc) 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; 5;—.3 c,V"VC4)W-A AmOO- , 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 Codes. (5ignatt e of Property Owner(s)) "20 utv LAA�42 (Pant Namc tit Prupert) U�tncr(s)I Sworn to before me this day f' A � ,20 d`f Vfi W (No ary Public) -4, 4- 0- LINDA N1 MULLINSM , Notary Public, State of Ne,v Yor; No.0 1 MU6114168 Qualified it)Queens County `, Comrnission Expires August 09,20 > 8/12/2021 �yE BRC8, cu � 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 : UJ c.),+C.ke/, F VF DATE: Z - Z / - Z OZ -� PERMIT# 2�1- C7 2 �- ISSUED: SECT: /3s O�l BLOCK: LOT: j LOCATION: e C�V Tom" 2CY—(4 . OCCUPANCY: 1 u ❑ Violation Noted THE WORK IS... R PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / ❑ Natural Gas 0 eA PC) ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER I { ► � y ei - f x • _ • 'Ap •' S opt I Y 1Y•t 4 i ��rj ♦ -• .vim r w ri • 1 +, } ti' '• - - �..1, .. b � a ► � _ t ,. 4 ,_ .£! w y� ,,; �,y w �, y����♦ • .r �. � c � L u t 4:n fit'#' / �._ �� ;.. , i..� � � •4� .. I�� Y � _ i � 1T ♦_� _ Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Thursday, February 15, 2024 7:33 AM To: Steven Fews Subject: Message from UDig NY ****EMERGENCY**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 02/15/2024 07:33 To: VIL RYE BROOK PRIMARY Transmitted: 02/15/2024 07:33 00001 Ticket: 02154-000-104-00 Type: Emergency Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 538 To: Name: WESTCHESTER AVE Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FRONT OF PROPERTY, WIDTH OF THE LOT. NearSt: DIVISION ST & MONROE PL Means of Excavation: BACKHOE, HAND TOOLS, AIR COMPRESSOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: SANITARY SEWER REPAIR Estimated Work Complete Date: 02/15/2024 Depth of excavation: 5 FEET Site dimensions: Start Date and Time: 02/15/2024 07:30 Must Start By: 03/01/2024 ------------------------------------------------------------------------------ Contact Name: RICH DESTEFANO Company: NEW YORK PLUMBING Addrl: 8771 LEFFERTS BLVD Addr2: City: RICHMOND HILL State: NY Zip: 11418 Phone: 718-441-6800 x129 Fax: Email: richardd@nyplumbing.com Field Contact: RICH DESTEFANO Alt Phone: 718-441-6800 x129 Email: richardd@nyplumbing.com Working for: CONSOLIDATED EDISON COMPANY OF NEW YORK ------------------------------------------------------------------------------ Comments: WORKING ON BOTH SIDES OF THE STREET. EMERGENCY, CREW IS ON WAY TO SITE NOW, THIS IS A THREAT TO LIFE/PROPERTY/VITAL UTILITY. 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