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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.!3:ebrook.org
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
March 26,2024
Samuel Schwartzman&Lori Alper
15 Edgewood Drive
Rye Brook,New York 10573
Re: 15 Edgewood Drive, Rye Brook,New York 10573
Parcel ID#: 135.28-1-22
As per the Certification letter from Burke Energy dated March 21,2024,the removal of two above-ground oil
tanks under Mechanical Permit#24-021 issued on 2/28/2024 has been satisfactorily completed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
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/�• 1962� BUILDING DEPARTMENT
❑BUILDING INSPECTOR
[ SSISTANT 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.or�
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS :- / �= lJ YC�f� �--� Je ve DATE: 3 ' Z G U Z/
PERMIT# /// to Z /'C)Z ISSUED-2-L8-z/ SECT: 4U Z v BLOCK: / LOT: ZZ
LOCATION: R P aA yo-L d N i d Pit 'b e C OCCUPANCY:
❑ Violation Noted THE WORK IS... Q'/PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION /
❑ Natural Gas Z -1z D tle u.i f A AJ s n>o vPd /�
❑ L.P. Gas M Aj c1 k N C//j AU1Pcy'/ '7
,O-_VUEL TANK c ,,
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION �; /
FINAL L G 141b/L l� L `> >� �E/ l�D Pe-lez"'O.!
❑ OTHER S("Q PO-7
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BUILDING DEPARTMENT
❑BUILDING INSPECTOR
[TASSISTANT 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 : / /' ��G E li✓JJL ✓jam /d DATE:— v _ Z UZ/
PERMIT# / Z C) Z ISSUED: SECT: 41-• l U BLOCK: LOT: ZL
LOCATION: �` (��^� ��'z Z/ ,4//t �! C /( 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 ✓A--S /�e v✓ c f w 7 ,5 / 7e G
❑ L.P. Gas
E FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION /✓ ✓S J� L w" J v� 6-L
❑ FINAL
❑ OTHER
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BUILD r� � MENT
VIL `E OF RY OOK FEB 2 6 2024 .'3D)
938 KrNG ET RYE BR NY 10573
Q _0 ' VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
Application for Permit to Remove or Abandon Fuel Storage Tank
(*Storage Tanks in excess of LI00 gallons require registration with the County of Westchester),
FOR OFFICE USE ONLY: PERMIT#: �� — �d-
L
Approval Date: � � � Permit Fee: $_3 !' U
Approval Signature: Other:
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
REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE:
1. Application Completed by Bonded, Licensed Contractor.
2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder)
3. Your contractor's valid proof of workers compensation insurance.
(Form#C 105.2 or Form# U26.3 /or NY State Workers Compensation Waiver)
4.Fee per Tank: Removal or Abandonment$185.00 per Tank.
5.Dig Safely New York#(dial 811):
6. Inspection by Building Department for removal or abandonment.
7. Submit all Manifests&Reports(after work has been completed).
8.Certificate of Compliance will be provided when all requirements are fulfilled.
Application dated, 2/22/2024 ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to
remove or abandon a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the
subject fuel tank(s)will be removed or abandoned in conformance with all applicable Village,County,State&Federal laws,codes,
rules and regulations.
Indicate Permit Type: Removal(X)•Abandonment( )/Above Ground(X)•Buried in Ground ( )
1. Address: 15 Edgewood Dr, Rye Brook SBL: 135.28-1-22 zone:
2. Property Owner&Address: Samuel Schwartzman, 15 Edgewood Dr, Rye Brook, NY 10573
Phone#: 914-690-1209 Cell #: email: schwa rtzma n 11 @verizon.net
3. Contractor& Address: BURKE ENERGY, 475 Commerce Street, Hawthorne, NY 10532
Phone#: 914-919-3507 / 3545 Cell#: email: burkepermits@meenanlp.com
4. Applicant: Burke Energy
Phone#: 914-919-3507 /3545 Cell#: email: burkepermits@meenanlp.com
5. Indicate Fuel Type: Fuel Oil(X)•L.P. Gas( )•Gasoline( )•Other( ):
6. Number and Capacity of each Tank: Remove (2) 330 gallon AG oil tanks
7. Exact Location(s)of each Tank: under raised deck at rear of house
r
2/21/2024
STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as:
Kelly Redlon/Burke Energy ,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 legal owner of the property to which this application pertains,or that(s)he is the
contractor representative for the legal owner and is duly authorized to make and file this
application.(indicate architect,contractor,agent,attorney,etc.)
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 IWfore me this �h Sworn to before me this
day of 20 _ day ofC� ,20
* iL Jz� ELIZABETH SARLES �
NOTARY PUBLIC,STATE OF NEW YflR
Signature of Pro pe Owner Registration No.01 SA6392045 igqaturtof pplicant
Qualified in Putnam County elly Redlon / Burke Energy
f" Commission Expires May 20,2027
Print Name of erty Owner -— - t Name of Applicant
Notary Public CubOTT W.lic of New f New York
P
Notary Pub Notary Public
REG NO. OICR6390567
COMMISSION EXPIRES O4MW2027
This application must 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. Any application 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
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4aBurkeEnergy
Your local home service experts.
.......... Village of Rye Brook
DBuilding Department
D' 938 King Street
475 Commerce Street A1 MAR 2 5 2024 Rye Brook, NY 10573
Hawthorne,NY 10532
March 21, 2024
914.769.5050 T 1 VILLAGE OF RYE BROOK
914.769.1521 F BUILDING DEPARTMENT
burkeenergy.com � ^
RE: SCHWARTZMAN /4334356
15 Edgewood Drive
Rye Brook, NY 10573
Permit# MP 24-021/ MP 24-022 / Oil Tank Installation Close Out Letter
On March 8, 2024- Burke Energy(Milro) installed (2) Granby 330 Ecoplus oil tanks outside
on a new concrete pad under the raised deck at the rear of the house. Installation included
new 2'fill and vent pipes, tank legs,fill cap, oil safety valve, firematic valve,vent alarm, tank
gauge, tiger loop, new overhead oil lines with envirotube, and all necessary piping and
fittings to complete the new installation.
The new oil tanks were installed in accordance with all existing local and state building
department codes and ordinances.
The (2) existing 330 gallon exterior oil tanks were removed from beneath the raised deck
at the rear of the house,with no visible leaks, cut and cleaned on site and disposed of at a
recycling center. Scrap manifest and pictures attached.
The waste oil was disposed of at an approved waste oil recycling center. Manifest is
attached.
If you require anything further,please contact our Permit Department.
(Kelly 914-919-3507 or Dan 914-919-3545).
Thank you,
John Burns / Install Manager / Burke Energy
914-769-5050
iburns@meenanlp.com
burkepermits@meenanl .com
Heating I A/C I Propane I Oil Tank Removal I Generators I Home Security&Automation
Novella's Scrap Yard
5 Thorpe Street,Danbury,CT 06810
(203)743-5275
,, 1 Date
Name u eA �;rliujartztnan
Ism �e � ri ry N 5-73
AdJress
Weight Description Price Amount
Aluminum Side
Aluminum Turn.
Aluminum Clips
Aluminum Rad.
Aluminum
Brass L.
Brass H.
Copper#t Wire
Copper 91 be
Copper42
Copper Sheet
Lead
Radiators
Stain.Stcel
Wire Ins.
Batteries
Iron
Electric Motors
Received B TOPL—
NONHAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Waste Tradking Number
WASTE MANIFEST EXEMPT 1 516-379-1500 L` - - 7542
5.Generators Name and Mafnq Address Generators Site Address(if different than mailing aedressj
Samuel Schw&rtZ-rna n �OS73
is-EG(,ce wood Z) I�ye�roo lc N S�
Gtxloraa's P►ano.
6.Transporter 1 Company Name U.S.EPA ID Number
MILRO GROUP LLC NYROW237214
7.Transporter 2 Company Name U.S.EPA ID Number
8.Designated Facility Name and Sile Address US EPA ID Nurneer
TRADEBE CTDO02593887
50 CROSS ST.-BRIDGEPORT,CT 06610
Fau6:c's Pbmv 88&276-0867
?.7das;e shiCpin,Narr.e and Cesciipn,-,r.
10 Containers 11.Total 12.Unit
No. Type Quantity WLNoI.
1 — -
cc WASTE,#2 FUEL OIL 'TT C)
a NON DOT/NON RCRA REGULATED MATERIAL 001
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3.
4.
13,Special Handling Instructions and Additional Information
11) 10OW47190
14.GENERATOR'SlOFFEROR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully ane accu ly described above by:he proper shipping name,and are classified,packaged,
marked and abelerUplararded,and are in all respects m proper abn I�cyarsp�l according b applicable m;eRaaa al rd na ones mental regulatMns
Gem rsfOMarors Pdnted/Typed Name 0 fl T Signat c Month Day Yea
Colt s 3 /t a
:j IS.Intemall"Sh•pments
r_ ❑Import to U.S. ❑Ex xv Lan a-S. Part Of enry ex 1:
z TransWaf§Oguita ow e0aft orillyt DaY leaviriq U.S.:
cc 16.Trustwrter Acknowledgment of Receipt ofMaterials
UJI
r Tran B:!PrinfeWr Name
o1P� S9r►1t Month Day Yea,
N
a Transporter 2 PdnledlTyped Name Signature Month Day Year
Cc
17.Discrepancy
17a.Discrepancy Indication Space
❑Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection
Manifest Reference Number.
17b.Alternate Facility(or Generator) U.S.EPA ID Number
J
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LL Facility's Phone:
w 17c.Signature of Alternate Facility(or Generator) Month Day Year
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18.Designated Facility Owner or Operator.Cerlificalion o1 receipt of materials covered by the manifest except as noted in Item 17a
PrintedlTyped Name Signature Month Day Year
169-BLS-C 5 11979(Rev.9109) DESIGNATED FACILITY TO GENERATOR
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