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Home My WebLink AboutPP24-078 00 = w ` O N L z cq N W o ►""� W �Zi a W ao = o H _ Ln = O w o eq O o en z 0 O Z I w o _ W � 3u 06 co o V U 1--I u _ CO) cn z Z z z _ Z d O en FDM Mw i "�O' W a MM 00 1-4 li w s V p sib"'"Ln z z a �•1 aI � '� � U � a x V s U _ 0 CO O a N Vg V s~ 64- x O � N A a z ° 2 a w � 0a D) ECEWED J� JUN - 6 2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING S-riu+*i RYE BROOK, NY 10573 (914)939-0668 www.i-yebrookny.gov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: _ PP#: `-7 b Approval Date: Gb qz> Permit Fee: S Approval Signature: X't - - ------- 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 PROGRESSED OR COMPLETED WITHOUT A PER j(0WjQ,3q IT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF S750.00 Application dat / ed, 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. n' I' C r 1.Address: ��S DUi I� IIL� -'• v '�' 7[51.: - LUIIC. C 1 2.Proposed Work: ��e Q%l k / n 3.Property Owners �t..,l�/t 1 h(I}11�{ ��- Address: Phone#: Cellr#: _email: / L'�/2 4.Master Plumber:J /_Mnj (� ��/G�7i Address: ' Lie. #: � Phone#: _ _Cell#: _ email: pp (✓ GG��- �� j'�711�/I+CGrr Company Name: Ill _ Address: n C1YmL14 1p ti T 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 1'ubs Service Service Sewer LP Gas Basement j I st Floor 1 2nd Floor 3'd Floor 41 Floor 51 Floor Exterior 5." List Other Equipment/Provide Details: a� �� — — (Notarized Signatures Required Next 2 Pages) _ 6/l/2024 STATE OF NEW YORK,COUNTY OF WESTCHESfER ) 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 D !- worn before me this Sworn to before me this day of ,20 a y •20 Sig f Property Ow icant (- . R( P It e of Pro rty er Print Name of—Applicant Pied... MARIA ROSA MARTINEZ • � Notary Public.State of Florida Notary P O hh otary P is S �: Commission a HH 68250 G RY M.RIVERA My Comm.Expires Jan 19.2025 Nay Public,State of New York Bonded through National Notary Assn. No.0IRI6441398 QuaWW In Westchester County Commission Expires September 26,2 This application must be properly completed in its entirety and must include the notarized signature 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- 6/t/2o24 BUILDING DEPARTMENT JUN - 6 2024 VILLAGE OF RYEBROOK 938 KING STORM, RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMIENT www.ryebrookny.I:ov AFFIDAVIT OF COMPLIANCE VILLAGE CODE 16 • 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: 3J641� L ZekieZ —, residing at JS t 9 (Print name) (Address where you liv ) 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; 5�e , Rye Brook, NY. (.lob 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. (Signature c ty Owner(s)) (Print Nant of Property Owner(s)) Sworn to before me this ;,; e�. MARIA ROSA MARTINEZ �' � �: Notary Public-State of Florida day 20 � ` Commission#HH 68250 o:r. My Comm.Expires Jan 19,2025 Sorded through National Notary Assn. ( tat Pu )c) _3. 6/1/2024 QyE BRC�k t7 -c BUILDING DEPARTMENT ❑ByILDING 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 I I C` 1c _>7 DATE: 6 /Z- ' PERMIT# 27 lJ ISSUED: 7" '7 �� BLOCK: LOT: U � � ' 1�SECT: f/ LOCATION: e M kAG,N-)( t OCCUPANCY: J ❑ 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 o u * � u _�4 i N cz F c cz cl N z 'z E u Q q q w x N O o ° h Q aas ° Q co y W w d ° `; * W c`d (Q S A wa v . , as 3 rA q.vz `� E cz o2S —0 cc r v 3 ,o ° bJD o V * o c U v, E y v - v a o o °" d w a a BRsoie Z04 1932 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 - - - - - - - - - - - - - - - - - - - - INSPPCTION REPORT - - - - - - - - - - - - - - -- --- - ADDRESS : DATE: I �j ` -2c PERMIT# r ISSUED: SECT: BLOCK: LOT: LOCATION: " 0��_�cr n (-e I C�(Y3 r OCCUPANCY: 0� Violation Noted THE WORK IS... Q PASSED FAILED REINSPECTION ❑ SITE INSPECTION / REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION l ❑ Natural Gas ❑ L.P.Gas . (" — FUEL TANK T ❑ FIRE SPRINKLER [] FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �� eS h n ti