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PP24-133
Qy DR VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrookngoy TRUSTEES BUILDING&FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J.Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 16,2024 Lawrence Cohen&Debra Cohen 40 Winding Wood Road Rye Brook,New York 10573 Re: 40 Winding Wood Road,Rye Brook,New York 10573 Parcel ID#: 135.26-1-38 This document certifies that the work done under Plumbing Permit #24-133 issued on 8/30/2024 for the installation of a new gas hot water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC�/f �7 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 : LIS � 1 .1 DATE: Z 7 0 Z PERMIT# _4 I ISSUED: 'SECT: 2(o BLOCK: LOT:3_ LOCATION: < ^4 .. 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 c n ❑ NATURAL GAS (M r-, ❑ L.P. GAS �9 4 LC.c�J � .4—� .J,ia .► ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL S� 7, X PA v ❑ OTHER - /N M N 00 W W Rr c� x a z � _ Acu o 0. w 0 = A4 14 W °O u a Cif, W � w °� � A = i Z O O 14 U W V wU � O V uz 00 zz ►-� z cy O H z 9 a - W = A 'w-' W0 Z O Ln © V Ch C © z A a A 0 >4 TT v A U Fc. CE � BUILI�ING�bEP�Ry MENT AUG 3 0 2 024 VIL E OF RYE OK 938 KIN , ET RYE B ,NY 10573 VILLAGE OP RYE BROOK ,0 BUILDING DEPARTMENT ov PLUMBING PERMIT APPLICATION FOR OFFICE USE ONL BP#. PP#: / 3 .Approval Date: � Permit Fee: $ Approval Signature: Disapproved: 1 �,e0 (fees are non-refundable) DO NOT START WORK or CONSTRUCTION 11NI'I1,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 O Application dated, —30 4� is hereby made to the Building Inspector of the Village of Rye Brook N`►',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 allapplicable Federal,State,County /and Local Codes. 1.Address: qQ W 1 M d i�y��v��c� 2 e F3d �s �� t1 (,�/S/1«+�C J SBL: 3Q Zone: r� 2.Proposed Work: 3.Property Owner: U AA) CoHtN Address: Phone#: 3cf ,i RA 1 Q? C.B Cell#: �' email: IVY Mi iRa Q V41-1- •611 4.Master Plumber: P45§UhLk 100A,9 411 Address: /0 a.�'#C-P ?A X_0`" N f /0�10'( -- Lic. -4 Phone#: ` lq 15 y l Cell#: y'( email: ?/14 o4/1 No Q A<c T;C--0-le cl f,✓ram,G Company Name: "f.A •��-( Address: 6 0 �A'f�} "''' S �s�i Ls;c.0 .0y /o f 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 1 st Floor 2nd Floor 3rd Floor 41 Floor 5'h Floor Exterior 5.*List Other Equipment/Provide Details: !'-k,1�7 Z.A, k'^') 7j 6 eq (Notarized Signatures Required Next 2 Pages) 611/2024 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 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 ,20 day of C r ,20 Signature of Property Owner Si ree of 4Applicant C�3 / ,ter Print Name of Property Owner Print Name of Applicant Notary Public N13W"LR*iGtate of New York No,01PJ1E6160063 Qualified In Westchester County Commission Expires January 29,20_� 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. 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 STA OF NEW YORK,COUNTY OF WESTCHESTER ) as: '4fz Y+j 5 ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of dividual 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 4 0-3u:;, Sworn to before me this �J y day of 3a ,20 2-•'XIT day of ignature of Property Owner 5' n e of pplicant lS-C-,L--e-Cc_ Co�'lGet ✓4�� ( 4% 5--, — Print Name of Property Owner Print Name of Applicant '- L " \ 1 70 Notary POkARI MELILLO Not"'Iit bliMELILLO ..uolic,State of New York N,:-:a►y Public,State of New York No.OIME6160063 No.01ME6160063 !u. 1'ed in Westchester County^,-, Qualified In Westchester County Expires January 29,20c�- 1 " mission Expires January 29,20 2'1 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. 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_ 6/1/2024 BUILDq bii�-XRTMENT D VIJET OF RY9✓OKOOK 938 KING RY4BR 01K,NY 10573 AUG 3 0 2�24 ov VILLAGE OF RYE. BROOK BUILDING DEPARTMENT d;i:iFi::l•k***:k*:4i;:e�:kk*kkk i;**k:Fi;iz k 4:#k aF:F:F irk***F*iF:tk##***###**#*##;t:k�:kA:ki:F*�c**#k*at st*******#**********#k**#*#*# (�— 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 NEWUYORK, COUNTY OF WESTCHESTER ) as: 35, U?A� Co T' �^� , residing at, W".Vd l vi w-J 904.1 (Print name) (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; 69 v A , 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. (Si re o Properry Owner(s)) Lrc w re ICe (Print Name of Property Owner(s)) Sworn to before me this 'Sc� day of , 20 (Notary Public) SHARI MELILLO Notary Public,state of New York No.01ME6160063 Qualified in Westchester County Commission Expires January 29,20 6/1/2024 • COMMERCIAL-GRADE Mitho RESIDENTIAL GAS WATER HEATERS PROLINE° HIGH CAPACITY ATMOSPHERIC VENT COMMERCIAL-GRADE RESIDENTIAL HIGHEST RECOVERIES ENHANCED-FLOW BRASS DRAIN • Capacity/input combinations up to 98 VALVE gallons/75,100 BTU's produce recoveries • Our residential water heaters have a up to 81 gallons per hour solid brass,tamper resistant,enhanced =Smltr1 FULLY AUTOMATIC CONTROLS WITH flow,ball type,drain valve. SAFETY SHUTOFF • Uses a standard female hose fitting • Accurate,dependable control system that allows for fast and easy draining requires no electric connections.Fixed during maintenance. automatic gas shutoff device for added . Designed for easy operation,this valve safety. includes an integral screwdriver slot GREEN CHOICE®GAS BURNER that features a 114 turn(open/close) • Patented eco-friendly burner design radius,which not only permits full reduces NOx emissions by up to 33% straight-through water flow but also a and complies with Low- NOx emission quick and positive shut off requirements of 40 ng/J. CODE COMPLIANCE DYNACLEANTA9 DIFFUSER DIP TUBE • Meets UBC,CEC and ICC National • Reduces lime and sediment buildup and Codes. maximizes hot water output.Made from • Meets the thermal efficiency and long-lasting PEX cross-linked polymer. standby loss requirements of the COREGARD"ANODE ROD U.S.Department of Energy and current • Our anode rods have a stainless steel edition of ASHRAE/IES 90.1. core that extends the life of the anode CSA CERTIFIED AND ASME RATED rod allowing superior tank protection far T&P RELIEF VALVE longer than standard anode rods. MAXIMUM HYDROSTATIC WORKING PUSH-BUTTON PIEZO IGNITOR PRESSURE 150 PSI • Makes lighting the pilot fast and easy DESIGN-LISTED BY CSA _ with one-hand push-button spark INTERNATIONAL ^~ ignition. • Certified at 300 psi test pressure and NIPPLES 150 psi working pressure.• Factory installed for faster installation. • Listed according to ANSI Z21.10.3 CSA4.3 standards governing storage tank- BLUE DIAMOND®GLASS COATING type gas water heaters. • Provides superior corrosion resistance 6-YEAR LIMITED TANK AND PARTS compared to industry standard glass WARRANTY lining. • For complete information,consult written warranty or go to hotwater.com GAS-FIRED S ® � Green Choice- 0 May 2021 A.0.Smith Corporation.All rights reserved. Page 1 of 2 www.hotwater.com 1 800-527-1953 Toll-Free USA I A.0.Smith Corporation 1 500 Tennessee Waltz Parkway I Ashland City,TN 37015 AOSRG47002 ce COMMERCIAL-GRADE ® RESIDENTIAL GAS WATER HEATERS Rated First Hour BTU Recovery® Dimensions in Inches Approx. Number Capacity Model Nominal Storage UEF Rating Natural 9Gallone A B C D E F G H Draft 5111pp 9 Volume (Gallons) Gas Per Hour Hood (lb!)_ FCG-75' 74 71 0.60 125 75,100 81 61 58-1/2 26-1/2 15-3/16 16 50-1/4 1 15-1/2 50-1/4 1 4 1 270 FCG-100 98 95 0.58 170 75,100 81 68-1/2 66-1/2 27-3/4 15-3/16 16 57-3/8 N/A N/A 4 340 Water connections-1"on FCG-75 and 1-1/4"on FCG-100 For 10-year tank and 10-year parts limited warranty,change"F"to"P"in model number(example:PCG-75). 'For optional side-mounted recirculating taps,add"L"to the suffix of the model number(example:FCG-75L). All models are certified from sea level to 7,700 ft.elevation. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. E Q A B F H 0 D � G I C For r :rr or r ®May 2021 A.0.Smith Corporation.All rights reserved. Page 2 of 2 www.hotwater.com 1 800.527-1953 Toll-Free USA I A.0.Smith Corporation 1 500 Tennessee Waltz Parkway I Ashland City,TN 37015 AOSRG47002