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Home My WebLink AboutPP24-041 � N N a C N N W W N N N O44 M a o V = CA w w W I--1 ' � v� � ►fir aO Lei Olr) F�'I E., Cj o cis CQ �i 4-4r H z w W , o Z z w 0-4 W � � v) o w F �° °° O q �" w O � e x � � F ,n _ z x � cn co oo �.., W z a O W U O O w w H o ° U z v� ;.ToGN Ln 1 en ICI W r..04 a o U � cn cn E.4 a N � H w 0 W = z Fil v O 6 �I � � a w x � (Dor BULENT ! MAR 21 2024VILOK 938 KINNY 10573 PLUMBING PERMIT APPLICATION (� FOR OFFICE USE ONLY BP#: PP#: C9 — //�— 0 1 I Approval Date: �7��—\ \� a, Permit Fee: S / —75DC Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BV THE BUILDING INSPECTOR.T E ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 1 %OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 3/21/2024 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: 69 Rock Ridge Drive SBL: 135.36-1-1 Zone: 2.Proposed Work: Sewt?X nwpp tr 3.Property Owner: Daniel Berger Address: 69 Rock Ridge Drive, Rye Brook Phone#: 914-565-0665 Cell#: email: danielmbergerl7@gmail.com 4.Master Plumber: Myles Rich Address: 26 Hilltop Lane, Thomwood, NY 10594 Lic.#: 265 Phone#: 914-769-0193 Cell#: email: service@frmmech.com Company Name: FRM Plumbing & Heating Address: 26 Hilltop Lane, Thomwood, NY 10594 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 3rd Floor 41'Floor 5'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: Myles Rich ,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 2 ( Sworn to before me this 2 f day of Q�x'tn ,20 24 day of 20 Z� Signature of Property Own tgna re of Applicant Daniel Berger Myles Rich rint Name of Property Owner Print Name of Applicant MEYER Knotarize Notary Public,Stab of New York Notary PuI.ic.No.01 ME8130833 rc.N3 Yo kQualfied in Westchester Cou Qualified iou Commission Expires July 25,20� Commissin ,20This application must be properly completed in its entirety and must incluarize 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 BUILD MENT VIL E of RY ooK MAR 21 2024 938 KING ET RYE BR ,NY 10573 4 -0 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: "barl(E,k T)eYC12r ,residing at, ►Ror. :_ g1'age Dr. (Print n ) (Address where ydA 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; (O� �C�C,K- 1��dq2�r• , 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. c �-v (Signature ofProperty Ovmer(s)) (Print Name of Property Owne )) Sworn to before me this of . 20 ZI ota> ublic) N6111NN MW"11 Notary Public,State of New York Lic.No.01 ME6130833 Qualified in Westchester Counter Commission Expires July 25,20_ 8/1 212 02 1 QyCC,BRC�� cu � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0 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 : ^� k;.�L `L DATE: PERMIT# ( ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ 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 ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER