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HomeMy WebLinkAboutPP24-113 = a M N N = rl N N W = 00 ' Ln Q z m C/1 k L w W - 0-4 a _ W v> W N N7 elf) W A, �d w .s+ c ] 7 � oho w = z x > c� ro © Z � = o w o z w ° W = 7 boo00 0 cn JI _ p� o 1-+ w a3 o d * _ a � GO Qxx a z � c rl W V Ivy Vr 7 = ONO ` OQ z A A * W W 00 V a ((3 W Cl) a A � w a O O �D x x � � U a a c = U C7 U p[ V 0 C7, x `n A W z ° p x � a f J J U L 19 2024 BUILDING DEPARTMENT VILL,%C,F OF RYE BRook VILLAGE OF RYE BROOK 938 KING STRH-T RYE BROOK,NY 10573 BUILDING DEPARTMENT (914)939-0(68'FAX(914)939-5801 +«,v.ryrhmc,k.nr� PLUMBING PERMIT APPLICATION FOR oFrrc}. USE ON1.1 1311 �041"`'l� Approval Date: Permit Fee:S Approval Signature- Other: Disapproved: (fees srr aaw"rendebk) ssssssrassasrrrrsrssasrssssas►raaaasaaaaaraaarsraaaaaraasaasssasaaasassasas+ssarraraarasasrsssssss Application dated.7L_2:i24 is hLreby made to the Building Inspector of the Village of Rye Brook NY. for the is4uance n r 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 ik will be in conformance with all applicable Federal.State.County and Local Codes. I.Address. J SBL:�eJV/ —f�3 Zone: 2.Proposed Work: C - 3.Prt 11 Owner ° Y Address: t Phoned: Cell#: - email: ° a.Master Plumber: Address: �/ a k: . 3 Ccll i! email: Company Name. Address: INDI T FI\TURES Il\ES TO I3E IfVS1'ALLED AS PER THE FOLLOWING SCHEDULE: F�R&%c tloa Watcr UrirnEs Drinking Sinks Showers math Laundry Domestic Fire Sanitary Natural! Outer*Closets Fountains Tubs Tubs Service Service Scwcr LP Gas merit Ist Floor end Floor 3 Floor A 'Flea 5 Flour Lsxtcitx 5.•List Other I quipmenl)Provide Dctails: (Notarized Signatures Required Next 2 Pages) J a i trr TE ",r+il.w YORK.COUNTY OF WESTCIMSTER hcing duly sworn,deposes and states that hc4c is the applicant alxwe named. 'm Home of it d inR n4 the ar4llicanll znl I that Is)hc is the legal owner ofthe property to which this application pertains,or that Whe is the far the legal owner and is duly authorized to make and file this application. dinosaur Mrfht t-cwarachx.neeni.alltxncr,ac That all statements contained herein arc tree 10 the hc.t of hislhcr knowledee and helief,and liar any work performed.or use toiductcd at the ahove captioned progeny will bi;in conformance with the details as set finch and contained in this application and in any accompanying approved plans and Specifications,oc wdl as in accordance with the New York State Uniform Fire Pm-cntion&Building Code,the Cork of the Village of Rye Brook and all other applicahle laws.ordinances and regulations Sw•cvn to hefore me this I 1 Swo m to before me this day of dayof \c-, 20 2�1 Si .tore of 1��c S nature f & fL S Print Name of properly Owner Namc :1 plicant NA M SALAZAR Notary NOTARYPUNI.W.STATE OF NEW YORK Notar �MfLILLO Rcrno®unn No.aISA6363173 QVJhfrd Ia Wcocicaer Comm, Notary Public,State of New York c'nmmicsxw Expres 10.02`a_s No.OIME6160063 Qualified in Westchester County Zommission Expires January 29,20 /7 This application must be properly Completed in its entirety ark] �C -7Lsl Of' the lgzal ownci1s►of the subject property, and ihC anDliCM1l ofrvcord m tic snack,nruvtucu. nnntl4.11:k not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be murned to the applicant. h I za1 1� _1 ")tr Imo-- C E BUILDING MPARTMENT JUL 19 2024 1°ILLAGE OF RYF. BROOK 938 IONG S I-RCFA'Ri-F BR(X)K,NV 10573 VILLAGE OF R'r- BROOK (914)939-0668 FAX(914)939-5801 BUILDING DEPARTMENT IN wiv.r•ebrook.or affffaarffaffaffrrarafaaf+fffffraaafaaffrrrrrrrrrrrafrrfrafrfrfaffafaafrafrffrfaafrrrfrrrrfrrrrrarrrrrr AFFIDAVIT OF COMPLIANCE VILLAGE CODF,4216-STORM SEWERS AND SANITARY SF.WFRS THIS AFFIDAVIT MUST WAR THE NOTARIZED sIGNATURE or THE LEGAL PROPERTY 0"R AND t+J{ SLIN!TTEr. :. WITH ANY BU1LVIN6 UN YLLU4ULNG PRRMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION c-USMITTED WITHOUT TRIS COMPLETED AND NOTARIZED FORM MILL BE RETURNED TO THE APPLICANT. STATE OF NEWS �YORK, COUNTY OF WESTCHESTER ) as: �. c%,,kc--�1-it't_-ortr �-- residing at. ZADOYfi Ch4C-}�v 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 Complianec pertains at: J� 4i6Q x - ! , Ryc Brook. NY. 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 ti•om the subject property in accordance with all State. County and Village Codes. -"mt 1acr:„!Ih.,r,,m lrAn.�i t bwurn to before me this u day of— -'yp�v 20A_J =5ALAZARTE OF NEAP YMO's 363113chrortco-oftHMl7.5 •t a 1 c. �yE BRC�k, cu � 1982 BUILDING DEPARTMENT UILDING 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 : DATE: PERMIT# ISSUED: 6 O ' SECT: BLOCK: LOT: LOCATION: — i OCCUPANCY: U ❑ 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 •0 % C/I u % ° ® `, 3 ƒ 7 _ ; � � qk \ \ 5 tCZ � ® � � K / / c � oo � } / 2 ./ \ k of } / § � � ./ § / ° G / �. 8 0 d / � } U � _ G •-_ ± > 2 ".4 } q ! , � o \ M - 2 e co is \ e § 0 ] / ° O .. 2 3 u .14 8 e o 2 - P� k 2 § § ¥ a 2 E E