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HomeMy WebLinkAboutPP24-052 _ a Ln No a s N PLO Z w o u ii a a W � v WT to CN a O Zo w A = W 4-4 W CA O O Ci)o O u w � a4 c �., 00 Z M w w oc OW1 z 00 c, 4 w x w O � w o ; _ O U GG U er w W H O W. H _ z z • y Q W o H U W off" _ _ p E C EE WE BUIL MENT APR 10 2024 VIL OF RYE OK VILLAGE. OF RYE BROOK 938 KIN 3;R. B ,NY 10 73BUILDIr,,IG DEP";f T.VENT r fi or PLUMBING PE IT APPLICATION FOR OFFICE USE ON1,N' BI'#: PP #: � — Approval Date: Permit Fee: $ Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIE, A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT a PERMIT IIS12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINI1t CIM FEE OF$750.00 Application dated, 41 q !A 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: 4 4 �b( D�� Zoawi SBL:l� f i 927 '1'1'7 Zone e—�O 2.Proposed Work: 1 e vk S, , 6 P-or TQ 3.Property Owner: �_ &W t�e 1 I Address. 44 V Phone#: CA4 41 •`9 T 14 Cell#: email: 1SIt^ --CAS ©Vt"tort re- 4.Master Plumber: Zwby E J0yv S Address: III L p Lie.#: Phone#:qf4 q�4- njO ell#:qil{ ?_: q email: rfi EJ t/YI �Yl. ,Lo zz&�y•� Company Name: P—L 1'�1�VKb� Address: y� �/ci [��' (�!� zr 1 .— INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary NaturaU Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor 3"'Floor 4"Floor 5'h Floor Exterior 5.* List Other Equipment/Provide Details: qQ S SAr � I���l qa_s I ` (Notarized Signatures Required Next 2 Pages) -1- 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Ut 40 ` L— I NPVVS ,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 efore me this +h Sworn to before me this ©6 day of ,20 _ day of Y 202 S re of Property Owner Signature of Applican fr bw se S w* I, Z04vt- L -'Xi&eS Print Name of o erty Owner Print Name of Applicant AM` tL/ 1 - 7 , 7Notary AELESQUI Unaftede of Public s State of New York Pd*,SM d��OtE5b442359R2giStlaw No.OID14819030 Westches�t,ou 026n Expires (luafiified in Westchester Coin Commission Expires 07/31/20' 0 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 wil I be returned to the applicant. -2- 10/30/2023 BUILT? r.. � MENT ID f� (� �/7(� VILLA E OF RYE; OOK L� -L V h� 938 KING STREET RVF BRc' ,NY 10573 APR 10 2M (9114)439-0668 «�v4c' s ehru(�k,�►rg VILLAGE OF RYE BROOK BUILDING DEPARTMENT •kil-k�-i:i:*k*�:��ki a•�•kk�:Yk kk�'r:k•kk**i:ie*k'F*��*xr.*1::'r:k aF k�:Y ik��r 9:*k�ir�:kx�:kk**A•kkicx l:i:*i::k**kk*�k ki:k�e:F**k•k 9:**&&*9e*F 9:�*k 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: ,, f, 'bwsv Swt , residing at, 44 AWD aO ILl'"L (E'ri€tt na€ne} (:Address where ou h%o) 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; `M C, ot)W'-" M _.. , 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. (fruit Nunc at Prtz�crt�-(-hvn�r{yi) Sworn to before me this f V day of 9-�A , 20 oft (Notary i €c} MiCHAEL ESQUIVEL Notary Public-State of New York NO.01ES6442359 3 Qualified in Westchester County My Commission Expires Oct 11,2026 8/12/2021 QyCC,BRC�k l7 193,2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 6'AB/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.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS 0o tA/ L 4Q, L 0 op%D DATE: / - //-2 OLZ PERMIT# 1 2 -D12, ISSUED: 1-10- SECT: 14, 8 7'11 BLOCK: / LOT: LOCATION: OCCUPANCY: ❑ 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 B'Natural Gas n L A o u i 2 P4-t4 S wue _7�ft ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER y y E A**b o w L Air-V.., 2aA b ��z ��5`r �'o� G�S P i Pam• WAL-RICH -' JRPOP4TIOh O 4 psi * o cis `l N * V 73 \ � 1 n C * v A, 663 co cd CZ zwW � � Z r•� G7 a o * C4 oon� �D _ A ate °; * V •�vz 0 _o * C-13 s4 a y * z * � S r cz * a 1 g o * ° V