HomeMy WebLinkAboutPOD24-001PERMIT #
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SECTION
TYPE OF WORK
JOB LOCAxION
OWN
CONTRACTOR
EST. COST?
CO # ��1.� t�Y
TCO #
INSPECTION RECORD
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FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
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RGH PLUMBING
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SPRINKLER
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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
www.[y brookny.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
Catherine McDougall-Salgar&Carole McDougall
189 Betsy Brown Road
Rye Brook,New York 10573
Re: 189 Betsy Brown Road, Rye Brook,New York 10573
Parcel ID#: 135.44-1-17
Portable Storage Unit Permit#24-001 issued on 2/8/2024
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
}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 : zq% gp 4s 6 L f,)l G)A) DATE: �:� '_ 1 J
PERMIT# l t)U V^ Uy / ISSUED: SECT: 13 i" BLOCK: LOT: 7
LOCATION: --�P 1 V C W� q 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 DEPAR MENT
VIL E OF RYE• OOK
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938 KING ET RYE BR(j NY 10
,14)939-0668' FEB " 7 202.4 � L
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FOR OFFICE USE ONLY:
Approval Date: Permipf L
Approval Signature: Permit Fee $150/unit:
Disapproved: Other:
PORTABLE STORAGE UNIT PERMIT APPLICATION
Application dated: ��'� 1.� 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: 1 FM r1 14
2. Parcel I.D.#: f — Property Use: I'Ll% Zone:
3. Number of Units: Unit Size(s):
4. Proposed Location(s)on Property(provide details):
i ) do v-e w"
4. Unit Delivery Date: Unit Pick-Up Date:
S. Property Owner: CCt_J C rj r1 e- M C--{"�0 G Gam[if stiff 4 0-,.-
Address:
Phone# '7 ! Z Cell # Fax#
6. Applicant:
Address:
Phone# Cell# Fax#
7. Storage Unit Company: Q f /7 f 5) -
Address: QMlbnd F O( O
Phone# �(� / �5 Cell# Fax#
..........................#............■...■ ■.....■.......................................1
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.
t
10/26/21
STATE OF NEW YORK,COUNTY OF WESTCHESTER )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 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 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.
Swom to before me this :1 Sworn to before me this
day of , 20 ;`i day of , 20
Ngtary Public Notary Public
Si ature of Property Owner Signature of Applicant
Print Name of Property Owner Print Name of Applicant
SHARI MELILLO
Notary Public,State of New York
No,O3ME6160063
Commission Exp yes January 29,lified In Westchester County
2
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