HomeMy WebLinkAboutPOD22-001PERMIT #A
SECTION
TYPE OF WORK
JOB LOCATION
CONTRALTO
EST. COST
CO #
TCO #
FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING O
RGH PLUMBING
GAS 0
SPRINKLER
ELECTRIC
LOW -VOLT O
ALARM
AS P,IUILT
FINAL
�1 DATE: / o a� aP; a
BLOCK LOT
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FEE DATE
INSPECTION RECORQ
DATE
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VILLAGE OF RYE BROOK
MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A.Klein (914) 939-0668 Christopher J.Bradbury
,%;vw%y.ryebrookny gov
TRUSTEES BUILDING & FIRE INSPECTOR
Susan R.Epstein Steven E. Fews
Stephanie J. Fischer
David M.Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
November 13,2024
Steven Epstein&Susan Epstein
233 Country Ridge Drive
Rye Brook,New York 10573
Re: 233 Country Ridge Drive,Rye Brook,New York 10573
Parcel ID#: 129.83-1-5
Portable Storage Unit Permit#22-001 issued on 8/10/2022
This certifies that the portable storage unit installed under the above captioned permit has been satisfactorily
removed.
Sincerely,
Steven E. Fews
Building&Fire Inspector
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1932 BUILDING DEPARTMENT
❑BUILDING INSPECTOR
0 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# ?O 2 Z Uy ! ISSUED: SECT: BLOCK: LOT:
LOCATION: -3K I I'C 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
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BUILDING DEPARTMENT
VILLAGE OF RYE BROOK I
938 KING STREET RYE B►ROoK,NY 10573 F
6 2022
VILLAGE OF RYE BROOD
ww�pV`l`� BUILDING DEPARTMENT
FOR OFFICE USE ONLY:
Approval Date: JUL 2 6 2022 Per �
4 B.P.#if Applicable:
Approval Signature: Permit Fee $1501unit: GtI✓,001`�QC
Disapproved: Other:
�f ' PORTABLE STORAGE UNIT PERMIT APPLICATION
Application dated: /(�t�� is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit
to place a Portable Storage Unit(s)at the property listed below in conformance with§181 of the Code of the Village of Rye Brook.
1. Address: 2 3$ buuitm
k e-
2. Parcel I.D.#: S. 3` 1 - Property Use: / Zone: 5-
3. Number of Units: k Unit Size(s):
4. Proposed Location(s)on Property(provide details):
4. Unit Delivery Date: Unit Pick-Up Date:
5. Property Owner:
Address: II
Phone# L — Cell# - p Fax#
6. Applicant: SrA- , Qom_
Address:
Phone# Cell# Fax#
7. Storage Unit Company:
Address:
Phone# Cell# Fax#
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 on the next page. 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. Please note
that application & permit fees are non-refundable.
1
STATE OF NEW YORK,COUNTY OF WESTC14ESTER )as:
CIt c� ,being duly sworn,deposes and states that he/she is the applicant above named,
(print name of individual s gning as the 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,
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 wil I 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 6 Sworn to before me this
da of ti''1� , 20 0,-) day of , 20
r
No Public f Notary Public
a e of rope Own r Signature of Applicant
IoA
Print Name OWPAWlawner Print Name of Applicant
Notary Public,State of New York
No.01ME6160063
Qualified In Westchstter County
commission Exp r"January 29,200�
2
AFFIDAVIT IN SUPPORT OF FEE WAIVER RELA]1 1) TO HURRICANE IDA
STATE OF COUNTY OF
insert name), being duly sworn, deposes and says
1. 1 am the applicant for a Building Permit/Certificate of Occupancy /Demolition Permit
Electrical Permit/Plumbing Permit / Fence & Wall Permit
Mechanical Permit / Pod Permit (circle all that apply)
2. I am the legal owner of property located at G�3 �rttQj
Rye Brook, New York (insert street address) OR I am the
(Architect/Contractor/Engineer/Attorney) (circle one) for the legal owner of property
located at , Rye Brook,New York
and I am duly authorized by property owner
to make and file the accompanying application.
3. The following is a description of(1) the work to be performed under the permit for which
I am applying; and (2) how the work arose as a direct result of Hurricane Ida:
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4. The work described herein arose as a direct result of Hurricane Ida and does not include
Work which was not caused by Hurricane Ida.
Sworn to before me this
7�IJL&�j , 20
Notary Public
SHARI MELILLO
Notary Public,State of New York
No.O1ME6160063
Qualified in Westchester County
Commission Expires lznuary 29,20