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HomeMy WebLinkAboutMP24-113 r aR tt�woo�J v St VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E.Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 18,2024 Irwin Simkin,Leomi Simkin&Eric Simkin 93 Brush Hollow Close Rye Brook,New York 10573 Re: 93 Brush Hollow Close, Rye Brook,New York 10573 Parcel ID#: 129.84-2-82 This document certifies that the work done under Mechanical Permit #24-113 issued on 8/29/2024 for the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to M o ` r rl Ln v� N N N N ° � ■ QI N N v v 4n �C o° 00 _ ;z �n 0-4 c, 3 0"4 Q j v O W _ �i a a vac3 � ai O � W o b I�1 O ° ' `" _ �' w W '�' O `o'o " V _ OC Q " U 0. =Z e W Wz � � Q H M ' ap w ° ■ W CIS _ F-+ Oo � ° Wp © z W F ° � o !�! a y a ^ Q U x p a v v W C4 Ugo ? W W z QCA 9 a � > � v ° � - C1i W F O (� o R Q W 0 - �I a a w MCA D CC IENIE BUILDING DEPAR,rMENT AUG 2 2�24 VILLAGE OF RYE.BROOK. 938 KING STREET RYE BROOK,NY 10573 1 VILLAGE OF RYE BROOK (914)939-0668 FA.X(914)939-5801 BUILDING DEPARTMENT www.ryebrook.org Application for Permit to Remove Abandon and/or Install Fuel StoraLre Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County Hof Westchester) FOR OFFICI: t'SF. ONI-Y I11.R%II I :- ��✓�- �� Approval Date: �� Permit Fee: S �� Approval Signature: Other: Disapproved: i ti'r,urr iuui-rclundahlc� REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1.Application Completed by Bonded, Licensed Contractor. 2.Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form# U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal,Abandonment,or Installation: Is I X5.00 her Tank. 5. Dig Safely New York#(dial S 1 1): 6. Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests&. Reports(after work has been completed). 8.Certificate of Compliance will be provided when all requirements arc fulfilled. Application dated, 8/26/2024 is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County,State& Federal laws,codes,rules and regulations. Indicate Permit Type: Installation (Vf• Removal( )•Abandonment( )/Ahove Cround (`✓) • Buried in Ground { ) 1. Address: 93 Brush Hollow Close SBL: 129.84-2-82 _zone: 2. Property Owner&Address: Eric Simkin Phone#.. 914-523-9063 Cell#: e1,,a;1 esimkin0l@hotmail.com 3. Contractor&Address: Robison Oil 1 Gateway Plaza,4th FL, Port Chester, NY 10573 Phone#: 914-847-0295 Cell#: email: jweir@robisonoil.eom 4. Applicant: Robison Oil Phone#. 914-847-0295 Cell#: e1nail: jweir@robisonoil.eom 5. Indicate Fuel Type: Fuel Oil()f.•L.P.Gas( )-Gasoline( )•Other( ): 6. Number and Capacity of each Tank: Installation only of 275 gallon Roth above ground oil storage tank outdoors on cement pad. 7. Exact Location(s)of each Tank: Outside - rear of home behind mechanical shed. 6/I/2020 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,lean weir, Robison oil ,being duly sworn,deposes and states that he/she is the applicant above named, (prim name of indi%idual signing as the applicam) 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 architect,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 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 l"' Sworn to before me this day of 20 Z� day of .20 Signature of Property Owner S' nature of Applicant 0 Print Name of Property Owner Print Name of Applicant TIANNA MAJOR Notary Publi [My otary Public-State of New York tary Public J N0.01MA0005867 ADWM ualified in Westchester County M4tuI 4lbk Soft of M W Vwk Commission Expires Apr t4,2027 NO.01CM204I Ono"in WeIkhWN t aff" This application must be properly completed in its entirety and must include the r1FR!14Tj14P4fRkR#Q4�/m2� of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. a 6/1/2020