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BUIL E - MENT
VIL/A E OF RYE OK Vii-LAGE Of- RYE- BROOK
938 KIN 1� y I BUILDING DEPARTMENT
j ET RYE ,NY 10573 ----
�A 9=�•
�. \.or
PLUMBING PERMIT APPLICATION
FOR OFFICE USE ONLY BP#: PP#: C>/` /
Approval Date: l Permit Fee: S
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 PROCRESSED OR COMPLETED WITHOUT A
PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF S750.00
Application dated, 4/11/2024 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: 172 South Ridge Road, Rye Brook, NY 10573 SBL:_t ,155— 2+b(Q Zone:
2.Proposed Work: ,. 3 e_t�apwlth new grease trap
3.Property Owner: t L,�� � �� � Address: Z+ P( wff P{,U`�`A
Phone#: Cell#: email z i..� &)
it LL-�-�1r1�,�`1� f.V
4.Master Plumber: Joseph Plitnick Address: 59 Main Street Dobbs Ferry NY 10522
Lic.#: 336 Phone#: 914-693-1885 Cell#:914-714-1134 email: info.plitnickpiumbing@plitnick.com
Company Name: Plitnick Plumbing & Heating Inc. Address: 59 Main Street Dobbs Ferry NY 10522
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
1 st Floor
2nd Floor
Yd Floor
4'h Floor
5'h Floor
Exterior
5.* List Other Equipment/Provide Details: One 1 Zurn 81b qrease trap
(Notarized Signatures Required Next 2 Pages)
-t-
3/3/2023
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 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 1?- Sworn to bef re me this L
day of `- ,20 day of ,20 _
hiiiiitl1111ip �tT
STA1 "
OF Nti=tiU'l?tr5
Dature of Droperty = NpTI�RY P�7 o_e of Applicant
i ` = Qualifie to , tv
�l\V� �'v NJs1h4ster County;o
try u�� - a ,. iQAG227a2s. �;ph Plitnick
Print Name of Property Qvuner I-A,
y�� 'Q� pt�Nam f Applicant
N EX
N ary Pu ie Notary Public
RI CHAR M
NOT Y PUBLIC,STATE OF NEW YORK
Registration No, 01 YAU013323
Nilmtalifl}ed in We t�h, ester Co nt
on tAxptrc Scjm�e o e�' ��'�'��l led 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 property 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
LL
BUILD = - MENT _
VIL E OF RYE BOOK zQ44
938 KING ET RYE BR ,NY 1.0573 VILLAGE OF RYE BROOK
°fir -0 ` BUILDING DEPARTMENT
ry
x**k*kk**xki4krek*ie*k*irk****k*ir*kk******kkk kkkir***kvrk*ir akir**k***kkkk********k*k*wk*kk**w******wkka**k*kk*
AFFIDAVIT OF COMPLIANCE
VILLAGE CODE §2 16 • STORM SEWERS AND SANITARY SEWERS
THIS AFFIDAVIT MUST SEAR 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:
, residing at, I { (• (�
IPrim name I.Address N%[lei e%ou five)
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;
172 South Ridge Street , Rye Brook, NY.
(Jot,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.
�P)"' Z�:A
L Y 1
alum of Prof •11 f1r+T4P[51) Zit bit
(Prins Mato oi'Properl\ Owm,"fsf) ONl
Sworn to before me this
day of 117Y 1 L- 120 9 d-
INot� Publics
RICHARD A.YARMY II
NOTARY PUBLIC,STATE OF NEW YORK
Registration No, 01YAOO13323 -3-
Qualified in Westchester County
C nmrniq.qinn Fxnires Sentember 08, 2027
�yE BRC��.
o`` tim
BUILDING DEPARTMENT
❑BUILDING 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
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS: 1 2 Z Q % G cLp. 1 DATE:
PERMIT# Z - US 9 ISSUED: 4 LS "2 SECT: BLOCK: �- LOT: b
LOCATION: /�[, K IC }G lr ` 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 �� S t-( � N e �su �o /AJ
❑ L.P. Gas k`
❑ FUEL TANK
❑ FIRE SPRINKLER
gr FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
,• GT2700 SPECIFICATION SHEET
�I�RN®
�( GREASE INTERCEPTOR TAG
Dimensional Data(inches and[mm])are Subject to Manufacturing Tolerances and Change Without Notice
13
c
D E
Ft I
INLET G= WIDTH OF BODY OUTLE ME) __4 OF 30DY OUTLET
GT2700-4 through GT2700-50 GT2700-75>2700-100
Model A/B Flow Rate Capacity Dimension in Inches
Number Inlet/Outlet G.P.M. Grease
No-Hub [L] Lbs. [kg] C D/E F G
GT2700-4 2 [51] 4 [15] 8 [4] 10 [254] 7-1/4 [184] 16-3/8 [416] 9-7/8 [251]
GT2700-7 2 [51] 7 [26] 14 [6] 11-1/8 [283] 8-1/8 [206] 17-3/4 [451] 11-7/8 [302]
GT2700-10 2 [51] 10 [38] 20 [9] 11-3/4 [298] 8-1/4 [210] 19-3/4 [502] 14 [356]
GT2700-15 2 [51] 15 [57] 30 [14] 13-3/8 [340] 9-3/8 [238] 21-3/4 [552] 16-3/4 [425]
GT2700-20 3 [76] 20 [76] 40 [18] 15 [381] 11-3/4 [298] 24-5/8 [625] 17-1/4 [438]
GT2700-25 3 [76] 25 [94] 50 [23] 17 [432] 12-7/16 [316] 26-5/8 [676] 19-7/8 [505]
GT2700-35 4 [102] 35 [132] 70 [32] 18-3/4 [476] 14-3/16 [360] 28-1/2 [724] 22-1/2 [572]
GT2700-50 4 [102] 50 [189] 100 [45] 21-1/2 [546] 16 [406] 30-3/8 [772] 24-1/2 [622]
GT2700-75 4 [102] 75 [283] j 150 [68] j 22-3/4 [587] 18-1/2 [470] 40-1/4 [1022] 28-5/8 [727]
GT2700-100 4 [102] 100 [379] 1 200 [91] 27 [685] 23 [584] 44 [1118] 33-5/8 [854]
GT2700 Grease Interceptor
Recommended for removing and retaining grease from wastewater in kitchen and restaurant areas where food is prepared.
Grease trap is corrosion-resistant coated fabricated steel with no-hub connections, flow diffusing baffle, integral trap, and
vented inlet flow control device.
OPTIONS
-JP2700 6 [152] ExtensionC�"Jg_�
P�
APPROVED
Sizes 4 - 50 Sizes 20 G-P.M. - 50 G-P.M.
Regularly furnished unless otherwise specified.
Zurn Industries, LLC ! Light Commercial Plumbing Products
1801 Pittsburgh Avenue,Erie, PA U.S.A. 16502 Ph.855-663-9876,Fax 814-454-7929 Rev. C
In Canada I Zurn Industries Limited Date: 2/15/2018
3544 Nashua Drive,Mississauga,Ontario L4V 1L2 Ph.905-405-8272.Fax 905-405-1292 C.N. No. 139638
www.zurn.com Prod. I Dwg. No. GT2700