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HomeMy WebLinkAboutPP24-173 VI� M N N Cq 4-4 47 CA �I rt a O Lin W ~� O filtc P. y �..., .� o _ © Z Q F � A O W o x w o W W 4-4 x = CN CN '—' A a wx W = r� °O 0-4 CA d 0 z F�1 W H 0 O _ ^ O F _ 0�0 w CA � x Q o v W aH D [EC EME BUILIJNG DEPARTMENT VIL E OF RYE BROOK NOV 2 5 2024 938 KIN > T RYA B1t9 NY 10573 VILLAGE OF RYE BROOK `1 9 -6 BUILDING DEPARTMENT w ov ----- --�- PLUMBING PERMIT APPLICATION FOR OFFICE USE NLY t PP#: Approval Date: Permit Fee: $_���4� f Approval Signature: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL.., A PERMIT HAS BEEN ISSUED BY THE BUILDTNG 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, 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. I.Address: Ak-ne") L^) Aoq -Aeod l<, /� SBL: 1 3 �� "I~�' S Zone: 2.Proposed Work: ��7 C�4 G A s 6rAf B cf-r cnl OB' 1.J 3.Property Owner: &--A L U ty7k_5 L I ( Address: Phone#: 9/y d07 7 f93(- Cell#: / -�196)_/CJ(-/ email: i c vcti'& /M,,/C0<r7 4.Master Plumber: 3 0 K I GK. 19 loll Address:32,/ Lie.#: 7�9 _Phone#:V n p JT[.6�r7 Cell#. email:,l •►r���+F�eJrRbu3'G i��9 HvA TI;j� f � f Company Name.` Ad ress:3_ / $ ` 19 LC—l77 �q EXIIJ /A.. /0Ssa INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement f 1 st Floor �J 2nd Floor 31 Floor 4'h Floor 5'h Floor Exterior 5.*List Other Equipment/Provide Details: Cc}CwvV \29 csz �v L1I a- (Notarized Signatures Required Next 2 Pages) -I_ 6rl no24 STATE OF NEW YOM 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 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 NDXt Lh*QlL ,20- day of Al 00A N i e t_. l�)-_Am c..t ec' Signature of Property Owner Signature o%pplicantC 4rintlame of Property 6caner Print Name of Applican Notary Public NotarCQualifled KAREN M BATTIS:New TON T SCOTT Notary Public-State of York c•State of New Ynrk NQ.QiBA6o290 1SC6342931 Qualified in westchestountyWestchester County My Commission Expires D11, 2025 Expires May 31, 2028 This application mus a properly comp eted 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. 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. -2- 6/I/2024 BUILDJ,Nq.,D 3 Q RTMENT U - - - VIL E OF,R'Y � OOK 938 KING �' .ET RY>�BR ; ,NY 10573 NOV 2 5 2024 14 I VILLAGE OF RYE BROOK ekriv.1joy B INC nFPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT STATE OF NEW YORK, COUNTY OF WESTCHESTER } as: 3J, 0 lq- P1�'" 6-i'l ,- , ,residing at, 1 ! I f2o r�r4<c SJ (Paint riame) (Address where you live) 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 Compliance pertains at, 0J(_ , Rye Brook, NY. (Job Address) 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 from the subject property in accordance with all State, County and'Village Codes. Signature of Property( wnerr(s)) cc I' Lz� (Print Nanw of roperty 0%ner(s)) Sworn to before me this TA day of 1V��h1} 20 i0— M a TfIS -State of New York j 1 Expires Dec Westchester County FN7 Expires De 11, 2025 (Notary Public) -3- 6/1/2024 �--)v) F-Ewl Pnde)e�t �e5 LGC (Z,� (2 r- , N y NOV 2 s 2az4 k . gp� 1 n t a k �ry� ,gyp .+gar 4 5 ar _ a QyE BRC�k• O� tim 1982 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 : DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: 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 �yE BR(�k. cu � 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 - - - - - - - - - - - - - - - - - - - - i ADDRESS : DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: 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 * o * CA 6J Cd (`I N * j (J y N * co v * 'd Z 0 .m ti v � 0 * V Q. zx � Ln o r � Q Q Q W M * Wpy � wL x Cd * as cw.7 w c En * d A acnM * V tn"6Z J z w M * C,3 O * co * f$- O v ci v C rz -0 .O a a QyE BRQ) O� Zm �7 >> �O 1982 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 : l DATE: PERMIT# � \� ` J ISSUED: SECT: BLOCK: LOT: LOCATION: �'� �i �(C� 1� `� i; OCCUPANCY: ❑ Violation Noted THE WORK IS... Q PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION Natural Gas L.P. Gas ' i ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER Laura Petersen From: UDig NY Exactix <tickets@exactix.0 dig ny.org> Sent: Thursday, February 6, 2025 10:57 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 02/06/2025 10:56 To: VIL RYE BROOK PRIMARY Transmitted: 02/06/2025 10:56 00003 Ticket: 02065-000-367-00 Type Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 8 To: Name: BEACON LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY. BOTH SIDES OF THE STREET AND SIDEWALK INFRONT OF HOUSE #8 NearSt: Means of Excavation: BACKHOE, ROAD SAW, HAND TOOLS Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: Y Work Type: GAS SERVICE INSTALL Estimated Work Complete Date: 02/11/2025 Depth of excavation: Site dimensions: Start Date and Time: 02/11/2025 07:00 Must Start By: 02/26/2025 ------------------------------------------------------------------------------ Contact Name: PAT BUETI Company: GIANFIA CORP Addr1: 179 BRADY AVE Addr2: City: HAWTHORNE State: NY Zip: 10532 Phone: 914-358-4601 Fax: Email: pbueti@gianfiacorp.com Field Contact: PAT BUETI Alt Phone: 914-391-7378 Email: pbueti@gianfiacorp.com Working for: CONSOLIDATED EDISON COMPANY OF NEW YORK ------------------------------------------------------------------------------ Comments: WORKING ON BOTH SIDES OF THE STREET. Lookup Type: PARCEL ------------------------------------------------------------------------------ 1