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DRYE
BUILENTVIL OK
938 KiN NY 10573 JUN 2 5 2015
(914)939-5801
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
PLUMBING PERMIT APPLICATION
*MUST BE FILED B Y A LICENSED MASTER PL UMBER ONL Y*
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Date: Plumbing Permit#-W J J Building Permit#:
Fee: I Approval Signature:
(fees are non-refundable)
Application is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit
to install Plumbing as per detailed statement described below,and in accordance with all applicable Federal, State,
County and Local Codes,at the following location:
Address: 19 REUNION RD., PORT CHESTER, NY 10573 Phone#: (914) 305-6329
Owner: JOHN SHEA Address& Phone: SAME AS ABOVE
Use/Occupancy: 1-FAMILY Parcel I.D.#: 124.65-1-54 "bone: P.U.D.
LICENSED MASTER PLUMBER'S INFORMATION:
Name(please print): 0 NK CAMPISI Phone#: (914) 755-8950
Signature: X Westchester County License#: 2
Company Name: BRUNI & CAMPISI, INC.
Company Address: 199 RIDGEWOOD DRIVE City/Town: ELMSFORD
State: NY Zip Code: 10523 Phone#: (914) 946-5558
......................................................................................
FIXTURES&LINES ARE TO BE INSTALLED ACCORDING TO 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 GAS LINE
Basement
1 st Floor
2nd Floor
Outside
*Other: RE-PIPING EXISTING GAS LINE TO OUTDOOR BBQ.
Detailed Description of Appliances etc...:
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1982 BUILDING DEPARTMENT
VBILDING INSPECTOR
ISTANT 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 - - - - - - - - - - - - - - - - - - - -
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ADDRESS :- 1 1\P U KA 1 '0 IC o('c� DATE: Z - Z ' - Z UL 1-1
PERMIT# _' w ISSUED: ;- SECT: /2 BLOCK: LOT:
LOCATION: OCCUPANCY:
❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ Natural Gas /v
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
❑ OTHER
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/�• 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�e V DATE: ✓ �` ��/.
,1
PERMIT# -U ISSUED: c SECT: % BLOCK: LOT: 5
LOCATION: P Gam/` 1- C � OCCUPANCY:
❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION
-❑J SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ Natural Gas
❑ L.P. Gas 1
❑ FUEL TANK 1' 'w C `J Q
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER