Loading...
HomeMy WebLinkAboutPP24-070 - x N x w 0 a; v� k � W x a � a _ UO v 00 o to 9Q - o otn w C A c� Ln -4 z 00 Z Col en oo U z v� s x v U � w o 0 z o LOrq aH o = z a © ME 1'/ LE MAY 21 2024 {E DRnv VILLAGE OF RYE BROOK SUILI �1 G" � MENT BUILDING DEPARTMENT VILT&,A E OF RYE OK 938 KIN o` EET RYE B NY 10573 (914)9 � 939-5801 w or PLUMBING PERMIT APPLICATION J �j FOR OFFICE USE ONL BP#: PP#: � , �. Approval Date: - t Permit Fee: $ Approval Signature: Other: Disapproved: (fees arc non-refundable) Application dated, 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: 200 S Ridge St. Rye brook, NY 10573 (Yogafreak) SBL: Zone: C/—,�o 2.Proposed Work: New trap for existing condensate lines 3.Property Owner: , R Jlft-C k IM 1d_C- Address: Lr)(;E ( / Phone#: 6 + -3 ( " Cell €: email: }_460111JITIZI 4.Master Plumber: Ken McCabe Address: P.O. Box 650 Briarcliff NY 10510 Lic.#: 983 Phone#: Cell#: 914-804-5412 email: Company Name: VFR CONTRACTING Address: P.O. BOX 650 BRIARCLIFF NY 10510 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 Sevver LP Gas Basement Ist Floor 1 2nd Floor 3 Z Flo-or 4` Floor Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 3/21/19 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Ken McCabe ,being duly sworn,deposes and states that he/she is the applicant above named, (print narne of individual signing as 111e applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Contractor for the legal owner and is duly authorized to make and file this application. (indicate arcirilect.contractor,agent,attorney,etc.) 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 asili 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. � i Swann to before me this Sworn to before me this 17 day of ,A ,20 _ day of May 20 24 7, ire of roperty Owner st/ Sign re o Applicant b V l r✓ly �`Jr, ] Ken McCabe Print am of Prope t Print Name of Applicant nOA otar. ALENA H ANJIN / No y 'l> y public, State ilh N York Y rk NOTARY PUBLIC.STATE OF NEW YORII Registration N0.01HA00136i5 Reg. No. 01SM6387739 Registr in Westchester county Qualified in Westchester County My Commission Expires 911912027 Commission Expires 02/25/27 This application must be properly completed in its entirety id must include the notarized signature(s)of the legal owner(s) of the subject property, and the applicant IFrecord in the spaces provided. Applications not properly completed in its entirety and/or not properly si ed shall be deemed null and void and will be returned to the applicant. 1 t -z- 3r21u1s BUILD1, MENT fl [f VIL E OF RY OK 21 E2024 938 KING E'r RYE BR c ,NV 10573 VILLAGE OF RYE BROOK (914)93 �i 8 J9, 9-5$01 BUILDING DEPARTMENT Wit�f�V. 6) t 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 FORId WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER 3I, bWr_1_ t:N� SN , residing at, (Print narnc) (AdJicss%%here)uu livc) 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; �� •� ' rr��"pC-� ����� , Rye Brook, NY. (.fob 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 stormw'ater or groundwater connections or sources of i iflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. rc oI Prop rtv(k"w4+q s))46MrJ (Print Nano ol'Propert.vO%wTCr7 1) �( T Sworn to before me this d y AN'� � ;.20 Z4- (Nolan Public) ALENA HAKANJIN NOTARY PUBLIC,STATE OF NEW YORK 'Registration No.01HAO013645 OustiGed In Westchester County My Commission Expires 911912027 .3- 3/21/19 �E BRnv� cu � 1932 BUILDING DEPARTMENT ❑/pUILDING 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 : 2,1zoo DATE: J 1n2- ~l PERMIT# Z LA - ISSUED: SECT: BLOCK: 2- LOT: _ LOCATION: to'al-I 1\wr 6r 4-�To It C•t Q OpM 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