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HomeMy WebLinkAboutPP24-195 Ln C CD00 � � w d' u - ,._, FTj cn // N O a, - Ln o W x oQ A N 06 u H a MM F+ i o a A M z r O © W CN00 w C Cl) 00 lit ~ O W0c) �.,r (� z w A O w F-+ p� E-� © o ��j W ►..� cn �+ Q rn � w � � Z ��- OC94 W Q w w x � a � a a r w 0 - - ►--� � � z x w p o � 19 zo W w x W C4 E w �O a � � P. ja N �, O q w W. a w � a z v O w 0 � Ql�n, 1-5 L � V L� BULL ARTMENT 4 I V 2 5 2024 VIL E OF RYE BOOK 938 Knv A B ,NY 10573 VILLAGE OF RYE BROOK Rl.11LniNG DEPARTMENT wiya . ov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY P-# ) PP Approval Date: I Permit Fee: S �� Approval Signature: Disapproved: (fees are nun-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 PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 11/20/2024 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. LAddress: 20 Bayberry Lane, Rye Brook, NY SBL: 129.84-2-9 Zone:llq6 2.Proposed Work: Replacment of indirect hot water tank. 3.Property Owner: Zach Peikon Address: 20 Bayberry Lane, Rye Brook, NY Phone#: 845-893-9482 Cell#: email 4.Master Plumber: Mohamad Salameh Address: 134 Tomahawk St. Yorktown Fights., NY 10598 Lic.#: 1707 Phone#: 914-847-0295 Cell#: email: Jweir@robiSonoil.conl Company Name: Dynamic Maintenance & Resoration, InRtidress: 134 Tomahawk St. Yorktown Hghts., NY 10598 INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary NaturalJ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor 3'Floor 41'Floor 51'Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -E- 6n12024 a V STATE OF NEW, h n YORK.COUNTY OF WESTCHESTER I V ,being duly sworn,deposes and states that he she is the applicant above named, (print name of mdtvidua siBmng as the applicant) and further states that(s)hc 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 Sworn to before me this Sworn to before me this day of 1'>n�.l' 20 2U day ofTJ Signature of Property Owner ignature of Applicant r/1.,�0 vis-inG C S ?ci fY6 Print Name of Property Owner Print Name of Applicant Notary Public ESTHER RODRIGUEZ Notary Public-State of New Yo6tryPublic 0.OIRDOOIB455 Qualified In Westchester countyMycommission Erplres Dec 11,20 This application must he properly completed in its entirety and must include the notarized signatures)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. P DEC 3 1 2024 DD VILLAGE OF RYE BROOK BUILDING DEPARTMENT -2- b1�202J C t CA-J 1 -}fit►�-t='�`t-t� ATE OF 1�tEW Y>BRi�.CdUNTY OF Wti�3 fCtESTER ) as: E Q being duly sworn,deposes and states that he/she is the applicant above named, (pnnt name o(i rvidual signing as the applicant) —'and further sta s 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 arehdect,contractor,agrnb anomcy,etc) That all statements contained herein are true to the best of his/her knowledge and belie[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 Sworn to before uie lhis day of 4 20 day of 20 4 Ai ��tumo�ropr�Owner % Signature of Applicant Print Name o Property Owner Print Name of Ap icant I GEORGIANA ROTHWEIL NW" Notary Public,State of Connecbmt o ry Public ,01C1QQ 094J� J My Commission Expires 4MI2029 In We ester County Commlubn Expires 02/09/2028 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. 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. 2 rul'ix D DD RI'11 UItC,DLPARTNEMT DEC 17 2024 "I1-%UFOFRNFBRIN)k ` Qa u k� .Sre,rrRv).gp6p�.NVISS73 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ......................... 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