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Home My WebLink AboutPP24-028 : x _ N 00 kin x 0 N en N w - s e, en14 w 0-4 po cJi a'' W o : - o � PQ O -f w H A O W ya y Fr-1 i Z Z Fes! O o o A , pCApq d N di H ;:4 , 0 *---, w z z MW-1 w w v o 4 0 Z w �, 00 w E o (5 Clj V Z U z Cl) _ a c Wcn 00 CY zz _ c� H O ; 11 w Ln C) o Cl) V z N w A o � a ° o � �I xa a 44. � _ )R � B E MENT MAR - 1 2024 �UIL IL E OF RYE OK 938 KIN ET RY6 B ,NY 10573 VILLAGE OF RYE BROOK 1 BUILDING DEPARTMENT w RUE PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY Ill' #: PP#: rQ Approval Date: 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 I ,' 12(Yo OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated,3 # c) 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: 3Q l N atk t�—,t' s .! SBL: I c�190 Zone:te 4J. 2.Proposed Work: 3.Property Owner::,,��r�5 I'�• 6061A V S Address: [ Nor ►yt � �� / Phone#: J516P`p��74A w'7` _Cell#: email: ! C�Q1lWw1l7i1�� 4.Master Plumber: �I�n,,V 1`L /V�(?W S Address; � UA Sf Vj orte1'�m , 0&i 31 Lic.#: '!�'-Z Phone#: 't�'T•N��'7 Cell#: qI4. qq4• tqq4 email: Ir .W(ti( Company Name: K..1/ ��VwtlPf Address: 25 Imis LWPJPI O S 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 f i st Floor 1 V' 2nd Floor 3r°Floor 4"'Floor 5"'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 1 3/3/2023 STATE OF NEW YORy�K,_COUNTY OF WESTCHESTER ) as: 'PtCb 15L L ,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 arc 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. Swornto before me this Z Q Sworn to before me this r 1 A day of ftb• ..__ ,20 IT day of ,20 Signature of Property Owner Signature of A ieant T�0f-%" Co^^�-4^s 1�G44- L• �"s Prim Nome of Property Owner Print Name of Applicant � r o Notary ,ot Public Kenny Kyunghee Nam NOTARY PUBLIC,STATE OF NEW YORK NO•a,, P RegistratiosNo.01NA6442960 a R s O NB 01 0 Qualified in Westchester County OnNed In Wes��, hest�r CtiUR� Commission Expires 10/24/2026 G ,,,,,i,;,,�, J7"nj�iQT/31 ly This lnpleted 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 dee>ned null and void and will be returned to the applicant. -2- 10/30/2023 BUILD(RvEBRO()-�,NY10573 fiJ � TMENT VILOF RYE BROOK 938 K�tivc MAR - 1 2024 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: 10, VIl�Q LMMDI)S , residing at, / `/� � Nor" "q Sf (Print namc) (Address-,+hcrc YOU i-10 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; Rye Brook, NY. 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 crass-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. Z===772' �m S k , tcM tno&�S (Print Name ul Nuperty()wner(s)•( — Sworn to before me this 24f� day of Ft rv^v 12024 Ke"y Kyunghee Nam NOTARY PUBLIC,STATE OF NEW YORK gegistratioe No.01 NA6442960 3_ Qualified in Westchester County Commission Expires 10i242026 8/12/2021 �yE BR(b, 0 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ' t1sSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www Uebrook.or� - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :--,-?9 /V O 1� T I A \f4v- S-7-J DATE: 3 - / - o?0,)�/ PERMIT# �1 G 7 -O U ISSUED: -Z SECT: 129 BLOCK:_ LOT: �--� LOCATION: �C 't L � ��.� rJ e'� OCCUPANCY: ❑ Violation Noted THE WORK IS... ASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 8--fiatural Gas A �. r�AQSS(4 `��S� �20r> l�/i L�e i ❑ L.P. Gas j3A.S --f-D ❑ FUEL TANK ❑ FIRE SPRINKLER _ T. ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER I F BUILDING DFPARTMFVT VILLAGE OF RYE BROOK 918 KING STRP.rT.itrr RRao=.NY 10571 (914)939-06".FAX(914)939-5801 """—.r, rooLorc ...................................................................................................... BL§jE CARD CERTI FICA2[QLI This document certifies that the natural gas Piping wort:as performed in accordance with Rye Brook Plumbing Permit*:Re L4- Q'La ,issued: 2-1- is in compliance with the applicable sections of the Code of the Village of Rye Brook&the NYSUFP&RC,and has successfully passed the leakage test. Address: 10 P-1�_ l2 Parcel ID•: yg,z5 1 Property Owner: �_ p�Gs _n7oat� _-_-- Inspector. Dated: Plumber: Lic. a: Dated- �— ' ZO ZA Plumbing Contractor ?A ehj 4"4 ,n )l o c i i N 139-!a�►�, _�_ w � � ;, '`�.a f -1-- y i �, _ � � r � r W. •� t� � �� v� L a f ��, h a t