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HomeMy WebLinkAboutMP24-034 �yE QRn�.
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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.ryebrook.org
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R.Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
April 10,2024
John Landes&Laurie Landes
9 Dorchester Drive
Rye Brook,New York 10573
Re: 9 Dorchester Drive,Rye Brook,New York 10573
Parcel ID#: 129.67-1-4
This document certifies that the work done under Mechanical Permit#24-034 issued on 3/15/2024 for the
installation of a new gas boiler has been satisfactorily completed.
Sincerely,
z2a;
Steven E. Fews
Building&Fire Inspector
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• �9�2 BUILDING DEPARTMENT
UILDING 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
- - - - - - - - - - - - - - - - - - - - INSPECTIONREPORT - - - - - - - - - -- - - - - - -- - -
ADDRESS : rG`�CS tCw ``J� ' ✓e DATE: -/- 7 - z 0z �
PERMIT# I Z 03 ISSUED: .3��� -Z SECT: � � 7 BLOCK: � LOT: 7
LOCATION: —6A,�4 e-�-I'J� 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 77
❑ Natural Gas
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
Er FINAL PLUMBING
❑ CROSS CONNECTION
Q�FINAL
OTHER 60 i ccn
�yE 4Rnv�
• �9�2 BUILDING DEPARTMENT
❑BUILDING INSPECTOR
13 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 :— 1 �Vr"G�C S ice-_ \�e 1�/ DATE: T
PERMIT# L V 3 u ISSUED: "�s 'Z/SECT: Z 6 BLOCK: LOT:
LOCATION: 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
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
Or FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
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BUILDING DEPARTMENT HI
E C IE Il �%' E
VILLAGE OF RYE BROOK MAR 15 2024
3D '
938 KING STREET RYE BROOK,NY 10573
(914)939-0668 VILLAGE OF RYE BROOK
www.ryebrook.org BUILDING DEPARTMEITTr
APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE
IDEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT
FOR OI-FICE USA: ONLY: PERMIT#: /`!1Q / —D,3 1
Approval Date: K ` Permit Fee:
Approval Signature: Other:
Disapproved:
(fees are non-refundable)
x***,r*wwxwwx,tx*ww+e*xt*wxxww*w**w*wwww,rwwxxwxxwxwxwxwwwwwwxxxwwwxwwxxxwwwwxxxxxxx*w*twxwxww+tx*wwww*www**
DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING
INSPECTOR. THE ADMINISTRATIVE FEE FOR NN'ORK PROGRESSED OR COMPLETED WITHOUT A PERT IT IS
12% OF THE TOTAL COST OF CONSTRUCTION NN ITH A MINI11IUNI FEE OF$7511.00
REQUIREMENTS FOR RELEASE OF PERMIT& CERTIFICATE OF COMPLIANCE:
l. Properly completed& Signed Application.
2. Site/Staging Plan if Required by the Building Inspector.
3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate bolder)& Workers
Compensation Insurance on a NY Board form (Form=('I()5.2 or Form#U26.3 i or NY State Workers C'omrensatioel Waiver)
4. Payment of Fees/Unit: RESIDENTIAL= S I00.0R unit • COMMERCIAL =S350.00/14nit.
5. Complete specifications for each unit being installed.
6. Inspection by the Building Department for removal and/or installation. (48 hoar notice required)
7. Electrical work requires a separate Electrical Permit& Electrical Inspection.
8. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection.
wwwwwwwwxwwwwwwww*wwwxwwxxwwwwwwxxwxwwxxwwxwwwwxwwwwxwwwwwxxwwxwwwwwwwwxwwwxwwwwwwwwwwwxxwxxwwwxx
Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the
installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document
agrees that said equipment will be installed and/or removed in conformance with all applicable Local.County,State&Federal laws,
codes,rules and regulations. Q
I. Address: '( -0o C Cy r.E 4 C SBL: �9,� 15 7- /- Zone: /�
2. Property Owner: L. Cx u, n Pam- LQ r.et e 5 _ Address:
Phone Cell #; email:
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3. Contractor:- �V_� I 1N Ar,?1;7 Address:_ � t� o x /o T ley z l
Phone#:_ql 1 . Z 7V- 7 L 1 5 _Cell#: email:
4. Scope of Work: New Installation( )• Replacement L4•Removal( }•Other( ):
5. List Equipment: r h e Q t C,C<
6. Location of Equipment:
7. Method of Instal I at io n/Removal(list ail equipment needed to perform job):
10/30/2023
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 Heating,Ventilation and/or Air Conditioning Contractor 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 91 Sworn to before me this
day of CA ,20 day ofUr'�h ,20
4
�.Lfi2.c.k Signature of of Property Owner Sig a of Applican
ACV
P 7n,
t Name of Property Owner PrintfName of Applicant
Nota^bli Notary lic
GREGORY M.RIVERA GREGORY M.RIVERA
Netary Pubiic,State of New York Notary Public,State of New York
No.01RI6441398 No.DIR16441398
Qualified In Westchester County QuaNfled In Westchester County
Commission Expires September 26,2q0 Comrrdsston Expires September 26,20:t
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.
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BUILT-NC-DEPARTMENT MAR 19 2024
VIL" E OF RYE��OOK
938 KING ST4ET RYE BI�o?c NY 10573 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
www.ryebrogLM
ELECTRICAL PERMIT APPLICATION
Westchester County Master Electricians License Required
FOR OFFICE USE ONLY .�-*- L 0 -3 EP#:
Approval Date: —/9— Permit Fee: $
Approval Signature: Other:
**************************************************************************************************
DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BV 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$750.00
Application dated,S l9'd is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of
a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per
the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work
performed will be in conformance with all applicable Federal,State,County and Local Codes. / Q
1.Address: 9 � R C'`f��Tc, SBL:/d /►/7 Zone:
2.Property Owner: -0 u /45' <I-nJ D e--S Address: 'S A—A - W19 /4ROlt-e —
Phone#: /`71 73 7- QS Cell#: email:
3.Master Electrician/Licensed Installer: �'y S 4vyk-"t&/S Address: -470-f-0$`
Lic.#: 16 79 P/h�one#ft)e e(-Cell#: 9""c -�3�-00 W'email:
Company Name: (�` >!'���z✓7 0^°�TR.6�!� .pj Address: �54 , -e--
r
4.Proposed Electrical Work/Fixture Count:
5.3rd Party Electrical Inspection Agency:
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
(print name of individual signing as the applicant)
state that(s)he is 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 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 Sworn t before me this I 1
day of 120 day of (_6 20
Signature of Property Owner Sign re o pplicant
Print Name of Property Owner Prt ame of Applic
Notary Public No LMELILLO
Notary Public,State of New York 10/30/2023
No.01ME6160063
Qualified In Westchester County
Commission Expires January 29,2CID
STATE WIDE INSPECTION SERVICES, INC.
Service With liilet�riq
0:0 • •
SWIS JOB APPLICATION0. •
Office Use Elect. Permit# _ 0 Date
1 �y 0,3 Sci Ft
Plumbing Permit#
Final Certificate#
City/Village L �Q S ' / zip Building Dept. County
Address �i � Cross Street Section Block Lot
Owner Name//Address()f different than above) AW I j 4 A-1 Contact Number ql"l _�39 �5t�'<—
©Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑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
MAR 19 M'
VILLAGE OF RYE BROOK
BUILDING C>7'-PARTMENT
This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime 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 there is no open applications for the above address with any other inspection company.The applicant
owner or authorized agent agrees to all the above terms and conditions asset forth for the application.Email Address 0—`fX Q6--AJ T CO f QA Cj Al 4-�-/ Left Name L� �f�slZ I
License# A9 7 Date Signature
Address Q ,{/� City/Stat jL //L—W-W Zip Code / 0
Company U/�/t7d=�T A L.7",i/ Phone# q� !F 3(�!_ D D 1'
QState Wide Inspection Services
cjkl) 1080 Main Street
MAR 2 8 2024 Fishkill, NY 12524
Swus
845 202-7224 Phone
VILLAGE O((F�� RYE BROOK 914-219-1062 Fax
STATE WIDE INSPECTION SERVICES BUILDING DF..PARTMENT Email: office(cbswisny.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:
Current Contracting Corp. John Landes &Laurie Landes
Kenneth L.Samuels 9 Dorchester Drive
3 Church Street Suite 875 Rye Brook, NY 10573
New Rochelle, NY 10801
Located at: 9 Dorchester Drive, Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP 24-052
129.67 1 4
Certificate Number: 2024-1951 Building Permit Number: MP 24-034
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: 9 Dorchester Drive, 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 28"'day of March 2024.
Name Quantity Rating Circuit Type
Gas Boiler 01
Officer: Frank 1. 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.
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BULL E MENT DD
Vu. 4' E OF RYE K MAR 15 2024
938 KINET RYE B ,NY 10573
VILLAGE OF RYE BROOK
or BUILDING DEPARTMENT
PLUMBING PERMIT APPLICATION L/ Q
FOR OFFICE USE ONLY Bluer / J�—C 3 PP#:
Date: MAR02App2roval 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, o11 Xq It y 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.
L Address 9 b r SBL: 7 Zone:k7—I S
2.Proposed Work: E Y"a r r,e r c l3 d 1 e e pl 4 ce me n-t
3.Property Owner: La LA.pie L ci r.c1eS Address: 5' 130,26kesfer br
Phone#: � I H Ci 3 9- so 9 firs- Cell#: l I q S?-1- 7 q `6 email: I—R L CA e 1401.Q',"
4.Master P ^ �lumber: Q i . �r9�j Address: Po d o> /c 7 � I?r C N y / a 5-1'
Pl
Lic.#: IL9 Phone#: Cell 41Y"77N- 9 S email: /<'e��, J�'��'j���`��'v6 A'�'
Company Name: Address:
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 st Floor
2nd Floor
3"d Floor
4te Floor
5t6 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:
Ke ,^ ' 6 l S d y ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual signing as the plicant)
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 J \ Sworn to before me this
day of C �� 20 QL� day of ,20
�X" G2
Signature of Property Mher Signature of Applicant
y, L a�r ie
Print Name of Property Owner Print Name of Applicant
\' yv&j�� -&(ftzy/)? &LRO
No blic
Notary NPotitary Public,State of New York
No.01ME6160063
Qualified In Westchester County
Commission Expires January 29,201-1
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. 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
D
BUILD, W6 1'90*kftTMENT
VILLAGE OF R"OOK MAR 15 2024
"
938 KING EET RYE BRoON,NY 10573
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, La " rle- La"des , residing at, 'o o r cv,es 4, r D r, ,N-- I--y c IR coot' /U y
(Print name) (Address where you lire)
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;
0 9, e- 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.
(Signature of Property Owners)
Lc( Lj v, 1,g ci Y--, e—s
(Print Name of Property OkN ner(s))
Sworn to before me this 9
, 20 9-\-k
(Notary Public)
SHARI MELILLO
Notary Public,State of New York
No.01ME6160063
Qualified In Westchester County
Commission Expires January 29,20 2-�
8/12/2021