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HomeMy WebLinkAboutPP24-066 E _ E _ _ n a � � N ■ � � N - W n E N PLO Ln Ln M _ CA OG O !+[ eh z w u v ■ cn U - O Z u' o o o � W = w O F-i H °° O P-4 a w ° v' O rn H N � Z 0 �J' �i \ n z w z cn cod° p � O �o w w W o z ° Ho © U � � o � C. - - N A w w op ' o � W o4 _ U [ECIE � V Lam, BUIL NG DE ,1� MENT MAY 10 2024 VIL �E OF RYE OK 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: PP#: Approval Date: 95 L` r-L I Permit Fee: $ C-�) Approval Signature: Disapproved: (fees are non-refundable) 1)0 N()T ST kRT 11"OlZK or CONSTRUCTION 11NTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSIfLCTOR. T1I L A DIN IINItSTRATIVE FEE FOR WORK PROGRESS EI) ()R COMPLETED WITI10UT A PERNII I' 1S 12`%, OF 71TE TOTAL COST OF CONSTRUCTION WITH A MINIMU I FEE OF r5(I.otl Application dated, /anio—cis hereby made to the Building lnspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/o rem ve 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 I.Address: 7_.2 VV VI?7,gN _'34 Zr SBL: 14/i 7 �—d�Zonekd F- 2.Proposed Work: R,07 Q/" S*W&-x, SEIA wx 3.Property Owner:-Vj/jV/V%F4&_A IKG1,_4Dy_ Address: Zy WYM W S'I 91/0 . _- Phone#: 19f h Cell#: ,q�� 3^ .�66 email: Id-Twee, M40V(0 live-• doM- 4.Master Plumber: 7i�0/�i�'�S ✓i4 zl_D _Address:714/-e� 5 t3X - lV y /04462'? Lie.#: //�/ Phone#:'71,6 •S��a`��} _Cell#:Q/ ZA/:7— SSOO/ email: COf( Company Name:Y_&,cLO cSEWjM Wi97k--&A!A/i1! Address; •6r �15tS X tog 6 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 Ist Floor 2iid Floor 3,d Floor 4`h Floor 5`s Floor Exterior 1 5.* List Other Equipment/Provide Details: lf-S� V��'� TU ey'o 'g/�'/�7� e_% tlgkAr (Notarized Signatures Required Next 2 Pages) -I- 3/312023 STATE OF NEW YO , COUNTY OF WESTCHESTER ) as: �/ dilJi s • ,{.40 ; ,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 Sworn to before me this day of ,20;Z I/_ day of ,20 IM& Signature of Propel er Signature of Applicant v Pri Nam o e O her jet Na Appli t �n 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 t BUILD DEp MENT Q VIL OF RY' . OOK MAY 10 2024 DD 938 KING E'r RYE BR NY 10573 d '141 -0 1� 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 . ST,,A��T//E OF NEW YORK, COUNTY OF WESTCHESTER ) as: �1, d1AJfV1Fx'�bl ma/<w , residing at, (Print name) I(Address where you Ik'c 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; 2Z y��N �-C?' , Rye Brook,NY. 0ob 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. i Silnatunc of Property Owner(s)} (Print Name of Propel) 0�'vn_erft Swo efore me this da or '4&1 20-?y4 sn2/2021 'E BR(�,�. - '982 BUILDING DEPARTMENT Vn ILDING INSPECTOR ISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street . Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 2. 7 V\J Y I' I A 'y S T(eEF_T__ DATE: E_' j 7 - Z OZ PERMIT# ` Q 2 (4 - ISSUED:5 _!6_Z SECT: I• Y BLOCK: LOT: Z. y LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... Qrl"PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �, ❑ Natural Gas 1<e f L c' U c` LA-3 ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ja' OTHER 5CW0\ �yE BRC�v� o`` tim /�• 1982. 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: Z Z W X /rl A"J S T 1ZEF % DATE: PERMIT# Pr 2 q- ISSUED: /°' Z AECT: IYX BLOCK: LOT: Z LOCATION: � `� T 7U 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 -FINAL PLUMBING ❑ CROSS CONNECTION ,y ❑ FINAL ❑ OTHER j y f � J %• r i• <raj ! 'Sa!'^�r t� :'�� y'� �; , 1 • 4s� ^ — h R - 1 , `f l �!r. r, iy